LE, TRAM
NPI: 1366895286
· PLAINVIEW, NY 11803
· Student in an Organized Health Care Education/Training Program
· NPI assigned 07/15/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
134 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
34 |
34 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$340.02 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$309.83 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$286.44 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$245.36 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
28 |
$150.70 |