ORTEGO, L.
NPI: 1457497901
· BALL, LA 71405
· General Practice Dentistry
· NPI assigned 01/30/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
108 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$898.92 |
| D0272 |
Bitewings - two radiographic images |
38 |
38 |
$814.34 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$528.11 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$350.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$257.01 |