STAVERIS, MICHAEL
NPI: 1407901150
· ROSEVILLE, CA 95747
· General Practice Dentistry
· NPI assigned 01/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
277 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
59 |
$4K |
| D1120 |
Prophylaxis - child |
47 |
47 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
126 |
47 |
$510.30 |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$310.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$180.00 |