LYSNE-BURSON, DESSEREE
NPI: 1417485954
· FARGO, ND 58102
· General Practice Dentistry
· NPI assigned 05/29/2017
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
17 |
$0.00 |
| 2022 |
858 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
77 |
76 |
$0.00 |
| D0603 |
|
65 |
64 |
$0.00 |
| D1310 |
|
76 |
75 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
131 |
99 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
57 |
50 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
131 |
99 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
191 |
162 |
$0.00 |
| D0190 |
|
147 |
138 |
$0.00 |