CLEM, GENE
NPI: 1427342328
· FROSTBURG, MD 21532
· Dentist
· NPI assigned 06/08/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
94 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
26 |
25 |
$864.00 |
| D0120 |
Periodic oral evaluation - established patient |
22 |
21 |
$315.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
22 |
$184.80 |
| D0220 |
Intraoral - periapical first radiographic image |
23 |
22 |
$132.30 |