DERGHAM, DERGHAM
NPI: 1396022703
· LORAIN, OH 44053
· Pediatric Dentist
· NPI assigned 11/14/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,089 |
$21K |
| 2019 |
632 |
$11K |
| 2020 |
403 |
$7K |
| 2021 |
655 |
$12K |
| 2022 |
535 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,162 |
1,156 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,042 |
1,037 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
742 |
737 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
256 |
256 |
$6K |
| D0330 |
Panoramic radiographic image |
85 |
84 |
$4K |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$260.00 |