LEWIS, VIRGINIA
NPI: 1457511024
· SPRINGFIELD, KY 40069
· General Practice Dentistry
· NPI assigned 06/16/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
149 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
31 |
29 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
31 |
$797.50 |
| D1206 |
Topical application of fluoride varnish |
40 |
34 |
$618.75 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$542.85 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$422.50 |
| D1321 |
|
17 |
16 |
$30.00 |