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JEFFREYSTRAMMELLDDS,CHRISTOPHERPTRAMMELLDDS,TIMOTHYGGUTMANNDDS,ROSSDAU
JEFFREYSTRAMMELLDDS,CHRISTOPHERPTRAMMELLDDS,TIMOTHYGGUTMANNDDS,ROSSDAU
NPI: 1467462200
· YAKIMA, WA 98908
· General Practice Dentistry
· NPI assigned 08/08/2006
$214K
Total Medicaid Paid
Provider Details
| Authorized Official | MAYHAK, SANDRA (INSURANCE ADMIN. AND CREDENTIALING) |
| NPI Enumeration Date | 08/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,000 |
$18K |
| 2019 |
772 |
$14K |
| 2020 |
1,740 |
$27K |
| 2021 |
1,720 |
$34K |
| 2022 |
1,867 |
$37K |
| 2023 |
1,939 |
$53K |
| 2024 |
1,109 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,520 |
3,505 |
$89K |
| D1206 |
Topical application of fluoride varnish |
1,622 |
1,614 |
$35K |
| D1120 |
Prophylaxis - child |
1,441 |
1,432 |
$34K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,779 |
1,771 |
$24K |
| D1110 |
Prophylaxis - adult |
485 |
479 |
$18K |
| D1999 |
|
766 |
656 |
$8K |
| D0274 |
Bitewings - four radiographic images |
181 |
176 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
62 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
174 |
172 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
117 |
115 |
$270.18 |