NPI: 1457865511 · WESCOSVILLE, PA 18106 · General Practice Dentistry · NPI assigned 11/28/2017
| Authorized Official | PAMULAPATI, SUBHASHINI (OWNER/DENTIST) |
| NPI Enumeration Date | 11/28/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 317 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 90 | 90 | $2K |
| D1110 | Prophylaxis - adult | 44 | 44 | $2K |
| D0274 | Bitewings - four radiographic images | 43 | 43 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 63 | 63 | $630.14 |
| D1206 | Topical application of fluoride varnish | 29 | 29 | $549.28 |
| D0230 | Intraoral - periapical each additional radiographic image | 48 | 48 | $403.00 |