EBBA, MARY
NPI: 1427115013
· GLENDORA, CA 91740
· Dentist
· NPI assigned 01/02/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
463 |
$7K |
| 2019 |
276 |
$11K |
| 2020 |
261 |
$8K |
| 2021 |
303 |
$10K |
| 2022 |
70 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
277 |
275 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
243 |
242 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
716 |
274 |
$3K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$1K |
| D0274 |
Bitewings - four radiographic images |
58 |
58 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$455.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$140.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$116.00 |