DENOMME-STOUGH, AMANDA
NPI: 1447331236
· COLDWATER, MI 49036
· General Practice Dentistry
· NPI assigned 10/18/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
566 |
$16K |
| 2019 |
411 |
$11K |
| 2020 |
202 |
$6K |
| 2021 |
142 |
$4K |
| 2022 |
244 |
$7K |
| 2023 |
154 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
668 |
668 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
600 |
599 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
264 |
264 |
$7K |
| D1206 |
Topical application of fluoride varnish |
150 |
150 |
$3K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$250.00 |