SAMPLES, KYLE
NPI: 1407146764
· SEDALIA, MO 65301
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/07/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
401 |
$20K |
| 2019 |
253 |
$5K |
| 2020 |
42 |
$675.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
225 |
209 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
232 |
211 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
127 |
112 |
$4K |
| D0272 |
Bitewings - two radiographic images |
62 |
58 |
$2K |
| D1206 |
Topical application of fluoride varnish |
37 |
37 |
$477.55 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$380.40 |