ESPLIN, TREY
NPI: 1487034369
· PRICE, UT 84501
· General Practice Dentistry
· NPI assigned 06/04/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
129 |
$3K |
| 2021 |
261 |
$7K |
| 2023 |
84 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
150 |
144 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$430.56 |
| D0230 |
Intraoral - periapical each additional radiographic image |
142 |
68 |
$360.22 |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$21.44 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
58 |
58 |
$0.00 |