EWERT, MICHAEL
NPI: 1407160658
· CRESTLINE, CA 92325
· Dentist
· NPI assigned 07/29/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
259 |
$12K |
| 2020 |
32 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
142 |
141 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
57 |
57 |
$3K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$990.00 |
| D1120 |
Prophylaxis - child |
32 |
32 |
$900.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
20 |
$203.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
14 |
$125.55 |