BOIG, ELIZABETH
NPI: 1396151445
· EAST HARTFORD, CT 06108
· General Practice Dentistry
· NPI assigned 07/09/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
196 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
38 |
38 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$630.00 |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$570.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$540.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$450.00 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
38 |
$114.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
17 |
$61.20 |