TAVAREZ, LOURDES
NPI: 1437603800
· ALAMO, TX 78516
· Dentist
· NPI assigned 08/15/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
256 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
21 |
$335.54 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$294.08 |
| D0230 |
Intraoral - periapical each additional radiographic image |
66 |
23 |
$259.64 |
| D1206 |
Topical application of fluoride varnish |
37 |
37 |
$235.20 |
| D0274 |
Bitewings - four radiographic images |
16 |
15 |
$168.26 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$141.59 |
| D0603 |
|
72 |
71 |
$0.00 |