SITTO, OLA
NPI: 1396850392
· NORTH BRANCH, MI 48461
· Dentist
· NPI assigned 08/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
443 |
$12K |
| 2019 |
208 |
$5K |
| 2020 |
167 |
$3K |
| 2021 |
64 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
195 |
195 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
301 |
301 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
241 |
241 |
$6K |
| D0240 |
|
77 |
39 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$540.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$345.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$182.00 |
| D0190 |
|
30 |
30 |
$0.00 |