ROUKEMA, PETER
NPI: 1457525263
· PAGOSA SPRINGS, CO 81147
· Dentist
· NPI assigned 04/14/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
166 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$1K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
23 |
23 |
$698.28 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
16 |
$485.76 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
18 |
$354.54 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$303.68 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$298.88 |