SPRAY, THOMAS
NPI: 1508922212
· SOUTH ST PAUL, MN 55075
· General Practice Dentistry
· NPI assigned 12/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$759.50 |
| 2023 |
13 |
$398.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
25 |
$646.68 |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$511.22 |