BURGOS, JULISSA
NPI: 1417570250
· STAFFORD, VA 22556
· General Practice Dentistry
· NPI assigned 05/27/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
85 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$528.00 |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$450.96 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$115.50 |