O'DELL, SAMUEL
NPI: 1497891493
· HURRICANE, WV 25526
· General Practice Dentistry
· NPI assigned 01/29/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
196 |
$8K |
| 2022 |
339 |
$12K |
| 2023 |
422 |
$16K |
| 2024 |
136 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
468 |
428 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
381 |
348 |
$10K |
| D0274 |
Bitewings - four radiographic images |
135 |
129 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
41 |
$1K |
| D1206 |
Topical application of fluoride varnish |
40 |
39 |
$814.00 |
| D9630 |
|
26 |
26 |
$400.00 |