SIDERMAN, JERRY
NPI: 1386716975
· HUNTINGTON PARK, CA 90255
· General Practice Dentistry
· NPI assigned 11/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
17 |
$134.50 |
| 2020 |
95 |
$3K |
| 2022 |
76 |
$850.00 |
| 2023 |
12 |
$428.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
34 |
$2K |
| D9430 |
|
76 |
65 |
$850.00 |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
27 |
$836.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
31 |
21 |
$432.00 |
| D1110 |
Prophylaxis - adult |
17 |
13 |
$134.50 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$24.00 |