BEOVIDES BONACHEA, KEYTTIA
NPI: 1366995425
· KATY, TX 77449
· General Practice Dentistry
· NPI assigned 07/25/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
57 |
$924.13 |
| 2023 |
284 |
$5K |
| 2024 |
138 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
128 |
128 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
63 |
63 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
92 |
92 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
84 |
77 |
$886.27 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D0601 |
|
33 |
33 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |