ETTAH, PRECIOUS
NPI: 1366923336
· SOMERSWORTH, NH 03878
· General Practice Dentistry
· NPI assigned 08/27/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
55 |
$1K |
| 2021 |
138 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
51 |
50 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$458.00 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$392.00 |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
67 |
$331.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
27 |
$150.00 |