SONNTAG, AMANDA
NPI: 1477936243
· WYOMISSING, PA 19610
· Dentist
· NPI assigned 06/29/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
93 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
23 |
22 |
$799.20 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
28 |
$550.25 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$392.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$263.16 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$96.00 |