COSME, MICHELLE
NPI: 1376274472
· LOCKHART, TX 78644
· Dentist
· NPI assigned 06/20/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
206 |
$756.50 |
| 2024 |
204 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
20 |
20 |
$1K |
| D1206 |
Topical application of fluoride varnish |
75 |
69 |
$543.90 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$476.82 |
| D1120 |
Prophylaxis - child |
14 |
13 |
$294.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
84 |
26 |
$272.05 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
26 |
$131.88 |
| D0603 |
|
162 |
154 |
$0.00 |