KEYDEL, MARK
NPI: 1417099920
· BURLINGTON, VT 05401
· Dentist
· NPI assigned 02/12/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
424 |
$13K |
| 2019 |
240 |
$8K |
| 2020 |
118 |
$4K |
| 2021 |
209 |
$6K |
| 2022 |
335 |
$12K |
| 2023 |
326 |
$13K |
| 2024 |
182 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
772 |
769 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,047 |
1,036 |
$27K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$450.00 |