RAVURI, SUSEE PRIYANKA
NPI: 1376990077
· PUYALLUP, WA 98371
· General Practice Dentistry
· NPI assigned 05/23/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
178 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
25 |
20 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
28 |
$814.06 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$613.47 |
| D0230 |
Intraoral - periapical each additional radiographic image |
48 |
26 |
$458.38 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$395.01 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
34 |
$380.12 |