SYE, CASSIDY
NPI: 1376236471
· DEKALB, IL 60115
· General Practice Dentistry
· NPI assigned 06/02/2023
$226.06
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
37 |
$226.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
22 |
22 |
$145.42 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
15 |
$80.64 |