HALBERSTADT, KYLE
NPI: 1457767824
· FRANKSTON, TX 75763
· General Practice Dentistry
· NPI assigned 07/07/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
100 |
$1K |
| 2022 |
56 |
$402.89 |
| 2023 |
50 |
$381.97 |
| 2024 |
137 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
136 |
70 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
74 |
72 |
$828.96 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$807.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$235.20 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$205.80 |
| D0603 |
|
58 |
58 |
$0.00 |
| D0602 |
|
15 |
15 |
$0.00 |