LUZ E ESTRADA DDS PLLC III
NPI: 1427669613
· MOUNT AIRY, NC 27030
· General Practice Dentistry
· NPI assigned 08/12/2020
Provider Details
| Authorized Official | HARRIS, SONDA (OFFICE MANAGER MADS) |
| NPI Enumeration Date | 08/12/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
515 |
$10K |
| 2021 |
1,046 |
$24K |
| 2022 |
13 |
$406.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
258 |
246 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
347 |
329 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
341 |
315 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
229 |
$3K |
| D0274 |
Bitewings - four radiographic images |
98 |
91 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
217 |
190 |
$2K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$406.13 |
| D0272 |
Bitewings - two radiographic images |
14 |
13 |
$203.20 |