PETERSON, ROYCE
NPI: 1437283165
· FLAGSTAFF, AZ 86004
· Dentist
· NPI assigned 03/15/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
383 |
$4K |
| 2019 |
107 |
$1K |
| 2021 |
55 |
$692.08 |
| 2022 |
257 |
$3K |
| 2023 |
61 |
$869.54 |
| 2024 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
255 |
219 |
$4K |
| D1120 |
Prophylaxis - child |
131 |
107 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
194 |
150 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
157 |
153 |
$2K |
| D1206 |
Topical application of fluoride varnish |
115 |
114 |
$2K |
| D0274 |
Bitewings - four radiographic images |
37 |
26 |
$199.65 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$107.58 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$86.98 |