BOLT, RAYMOND
NPI: 1497833552
· AUBURN, AL 36830
· General Practice Dentistry
· NPI assigned 11/02/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
718 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
137 |
123 |
$4K |
| D0330 |
Panoramic radiographic image |
86 |
81 |
$3K |
| D0274 |
Bitewings - four radiographic images |
141 |
126 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
186 |
175 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
123 |
116 |
$2K |
| D1120 |
Prophylaxis - child |
17 |
14 |
$372.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$303.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
13 |
$193.00 |