BLOSSOM, MARY
NPI: 1477991552
· MORTON, MS 39117
· Dentist
· NPI assigned 06/11/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
299 |
$0.00 |
| 2019 |
25 |
$783.86 |
| 2020 |
109 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
84 |
62 |
$1K |
| D1120 |
Prophylaxis - child |
143 |
82 |
$1K |
| D1206 |
Topical application of fluoride varnish |
89 |
55 |
$499.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
117 |
53 |
$419.38 |