SAMUEL, HEMANTH
NPI: 1427238575
· LA PORTE, TX 77571
· General Practice Dentistry
· NPI assigned 11/06/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
119 |
$2K |
| 2021 |
1,189 |
$23K |
| 2022 |
13 |
$163.02 |
| 2023 |
698 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
311 |
57 |
$9K |
| D1120 |
Prophylaxis - child |
212 |
206 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
213 |
205 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
443 |
241 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
325 |
313 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
300 |
284 |
$4K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$691.56 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$636.84 |
| D0350 |
|
28 |
28 |
$367.60 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$327.32 |
| D0603 |
|
134 |
129 |
$0.00 |