MARTIROSOV, SOFIA
NPI: 1407992753
· STAMFORD, CT 06901
· General Practice Dentistry
· NPI assigned 01/30/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
384 |
$5K |
| 2019 |
480 |
$6K |
| 2020 |
179 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
271 |
271 |
$5K |
| D1110 |
Prophylaxis - adult |
153 |
153 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
242 |
242 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
283 |
283 |
$1K |
| D0274 |
Bitewings - four radiographic images |
94 |
94 |
$846.00 |