BALLY, KURT
NPI: 1497870034
· JUPITER, FL 33477
· General Practice Dentistry
· NPI assigned 03/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
223 |
$3K |
| 2021 |
44 |
$601.96 |
| 2022 |
494 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
254 |
190 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
354 |
250 |
$617.36 |
| D1110 |
Prophylaxis - adult |
17 |
12 |
$445.73 |
| D1999 |
|
35 |
32 |
$172.41 |
| D0274 |
Bitewings - four radiographic images |
53 |
19 |
$36.83 |
| D0120 |
Periodic oral evaluation - established patient |
46 |
16 |
$0.00 |