DEREK A SIEMON DDS LLC
NPI: 1497825152
· ANNAPOLIS, MD 21401
· General Practice Dentistry
· NPI assigned 11/09/2006
Provider Details
| Authorized Official | SIEMON, DEREK (OWNER) |
| NPI Enumeration Date | 11/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
623 |
$17K |
| 2019 |
161 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
267 |
265 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
266 |
264 |
$6K |
| D1110 |
Prophylaxis - adult |
66 |
66 |
$4K |
| D1120 |
Prophylaxis - child |
85 |
83 |
$4K |
| D1330 |
|
100 |
100 |
$600.00 |