SUTTON, BRADLEY
NPI: 1467543595
· POCATELLO, ID 83201
· General Practice Dentistry
· NPI assigned 09/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$806.24 |
| 2019 |
363 |
$8K |
| 2020 |
191 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
246 |
246 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$361.70 |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$188.73 |
| D0120 |
Periodic oral evaluation - established patient |
63 |
63 |
$115.44 |
| D0274 |
Bitewings - four radiographic images |
69 |
69 |
$49.42 |
| D0220 |
Intraoral - periapical first radiographic image |
137 |
131 |
$9.22 |
| D0230 |
Intraoral - periapical each additional radiographic image |
119 |
65 |
$0.00 |