RYZICKA, THOMAS
NPI: 1417114554
· ST LOUIS, MO 63125
· Dentist
· NPI assigned 05/16/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
258 |
$5K |
| 2019 |
100 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
102 |
102 |
$2K |
| D1206 |
Topical application of fluoride varnish |
123 |
123 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$712.00 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$604.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$225.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
12 |
$160.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |