FARR, EMILY
NPI: 1427611805
· SEDALIA, MO 65301
· General Practice Dentistry
· NPI assigned 04/21/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
323 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
61 |
60 |
$2K |
| D1120 |
Prophylaxis - child |
60 |
60 |
$1K |
| D1206 |
Topical application of fluoride varnish |
69 |
69 |
$758.00 |
| D1351 |
Sealant - per tooth |
49 |
16 |
$695.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$307.00 |
| D0272 |
Bitewings - two radiographic images |
23 |
23 |
$247.00 |
| D9995 |
|
18 |
17 |
$184.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$117.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$48.00 |