ARTHUR, CHARLES
NPI: 1396156402
· USAF ACADEMY, CO 80840
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/12/2014
1,385
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,180 |
$25K |
| 2020 |
237 |
$6K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
360 |
353 |
$10K |
| D1206 |
Topical application of fluoride varnish |
399 |
392 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
293 |
283 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
133 |
133 |
$4K |
| D0272 |
Bitewings - two radiographic images |
216 |
208 |
$4K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$455.00 |