NPI: 1518042175 · CLEVELAND, OH 44106 · Children's Hospital · NPI assigned 10/25/2006
Authorized official SCHILLERO, ANTHONY controls 20+ related entities in our dataset. Read more
| Authorized Official | SCHILLERO, ANTHONY (DIRECTOR, FP&A) |
| NPI Enumeration Date | 10/25/2006 |
Other providers sharing the same authorized official: SCHILLERO, ANTHONY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 84,871 | $6.94M |
| 2019 | 104,756 | $9.01M |
| 2020 | 66,968 | $6.77M |
| 2021 | 84,736 | $8.76M |
| 2022 | 93,833 | $8.81M |
| 2023 | 239,760 | $21.41M |
| 2024 | 195,959 | $15.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 68,860 | 65,029 | $10.76M |
| 41899 | Unlisted procedure, dentoalveolar structures | 6,606 | 5,816 | $6.63M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36,935 | 34,079 | $5.45M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9,953 | 2,957 | $5.19M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35,955 | 33,324 | $4.97M |
| 96127 | 28,147 | 20,916 | $3.69M | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 24,888 | 24,007 | $3.61M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 28,812 | 26,323 | $3.51M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 15,723 | 14,544 | $2.73M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20,310 | 18,887 | $2.41M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7,145 | 5,208 | $1.88M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14,691 | 13,594 | $1.73M |
| 99215 | Prolong outpt/office vis | 10,259 | 9,023 | $1.71M |
| D7140 | Extraction, erupted tooth or exposed root | 6,924 | 2,601 | $1.64M |
| 92551 | 18,686 | 16,975 | $1.63M | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 999 | 873 | $1.44M |
| D1351 | Sealant - per tooth | 2,567 | 1,114 | $1.30M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8,089 | 7,409 | $984K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1,520 | 1,085 | $929K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4,506 | 3,612 | $804K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 560 | 452 | $800K |
| D2330 | 1,376 | 764 | $762K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 4,832 | 4,567 | $747K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,521 | 735 | $716K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2,153 | 1,555 | $603K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 3,492 | 2,574 | $588K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1,217 | 820 | $561K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1,221 | 1,058 | $547K |
| G0378 | Hospital observation service, per hour | 5,530 | 2,829 | $460K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 256 | 150 | $442K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 911 | 537 | $417K |
| 93325 | 2,705 | 2,402 | $387K | |
| 95716 | 338 | 257 | $365K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 843 | 760 | $340K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1,013 | 793 | $306K |
| 70450 | Computed tomography, head or brain; without contrast material | 624 | 526 | $291K |
| 42830 | 171 | 151 | $290K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,939 | 1,813 | $275K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1,091 | 615 | $271K |
| Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | 282 | 188 | $217K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 260 | 177 | $160K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 284 | 174 | $145K |
| 94010 | 2,320 | 2,166 | $144K | |
| 36430 | 609 | 409 | $142K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1,936 | 1,783 | $142K |
| 01922 | 650 | 332 | $131K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1,148 | 1,134 | $128K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 43,800 | 39,621 | $125K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 924 | 795 | $124K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2,587 | 2,194 | $123K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 6,082 | 5,485 | $119K |
| 90670 | 15,074 | 14,084 | $118K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1,795 | 1,735 | $103K |
| 90648 | 18,560 | 17,329 | $90K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 769 | 680 | $88K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 14,737 | 10,962 | $82K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 734 | 581 | $70K |
| 12011 | 308 | 258 | $64K | |
| 95700 | 366 | 306 | $64K | |
| P9016 | Red blood cells, leukocytes reduced, each unit | 119 | 102 | $61K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 463 | 404 | $59K |
| 76000 | 406 | 238 | $58K | |
| J3535 | Drug administered through a metered dose inhaler | 984 | 514 | $58K |
| 96415 | 117 | 50 | $58K | |
| 87631 | 515 | 483 | $56K | |
| 59025 | Fetal non-stress test | 232 | 185 | $52K |
| 12001 | 231 | 192 | $50K | |
| 86850 | 1,772 | 1,203 | $48K | |
| 76825 | 838 | 766 | $48K | |
| 80069 | 3,500 | 2,377 | $47K | |
| 90686 | 13,043 | 11,275 | $46K | |
| D2331 | 126 | 63 | $45K | |
| 90633 | 7,838 | 7,083 | $45K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 164 | 124 | $43K |
| D2934 | 115 | 36 | $41K | |
| 92060 | 617 | 568 | $40K | |
| 82728 | 2,366 | 2,032 | $39K | |
| 90723 | 14,366 | 13,445 | $39K | |
| 80053 | Comprehensive metabolic panel | 5,658 | 4,196 | $37K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 3,877 | 3,391 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 110 | 63 | $33K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1,686 | 1,454 | $33K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6,354 | 6,016 | $32K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1,154 | 1,068 | $31K |
| 76827 | 1,025 | 910 | $31K | |
| 71046 | Radiologic examination, chest; 2 views | 2,442 | 2,119 | $30K |
| 83021 | 1,422 | 1,224 | $28K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 27,525 | 25,334 | $26K |
| 74018 | 1,246 | 1,008 | $26K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 115 | 86 | $25K |
| 86900 | 1,797 | 1,213 | $25K | |
| 85045 | 5,176 | 4,188 | $24K | |
| 36415 | Collection of venous blood by venipuncture | 12,117 | 9,430 | $23K |
| 82805 | 538 | 344 | $23K | |
| P9040 | Red blood cells, leukocytes reduced, irradiated, each unit | 51 | 25 | $23K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 136 | 108 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3,619 | 2,955 | $21K |
| 90681 | 4,431 | 4,062 | $20K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 647 | 550 | $20K |
| 93320 | 1,173 | 1,010 | $19K | |
| 92552 | 168 | 159 | $19K | |
| 94060 | 177 | 159 | $18K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 8,246 | 7,240 | $17K |
| 82248 | 3,693 | 2,539 | $16K | |
| 90649 | 3,809 | 3,284 | $16K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4,876 | 4,469 | $15K |
| 90696 | 4,431 | 3,883 | $14K | |
| 90710 | 3,471 | 3,108 | $13K | |
| 90716 | 2,645 | 2,303 | $12K | |
| 86920 | 325 | 151 | $12K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 630 | 511 | $12K |
| 92587 | 136 | 118 | $12K | |
| 86140 | 2,718 | 2,070 | $12K | |
| 87634 | 2,389 | 2,177 | $11K | |
| 90651 | 1,150 | 1,094 | $11K | |
| 90734 | 2,945 | 2,545 | $10K | |
| 71045 | Radiologic examination, chest; single view | 848 | 664 | $10K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1,261 | 1,081 | $10K |
| 82247 | 1,889 | 1,266 | $9K | |
| 99384 | 124 | 111 | $9K | |
| 90677 | 2,390 | 2,293 | $9K | |
| J3490 | Unclassified drugs | 2,266 | 1,419 | $9K |
| 90715 | 2,033 | 1,698 | $9K | |
| 83615 | 1,455 | 1,201 | $8K | |
| 90620 | 1,333 | 1,133 | $8K | |
| 90707 | 2,632 | 2,287 | $8K | |
| 86901 | 1,797 | 1,213 | $8K | |
| 90680 | 1,946 | 1,863 | $8K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2,232 | 1,626 | $8K |
| 90700 | 1,267 | 1,204 | $8K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 407 | 388 | $7K |
| 82947 | 2,339 | 1,358 | $7K | |
| 80076 | 457 | 384 | $7K | |
| 82570 | 1,029 | 866 | $7K | |
| 84450 | 2,126 | 1,568 | $7K | |
| 82977 | 1,007 | 880 | $6K | |
| 84460 | 2,125 | 1,567 | $6K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 33 | 25 | $6K |
| 73090 | 682 | 534 | $6K | |
| 85027 | 1,737 | 1,237 | $5K | |
| 90656 | 876 | 869 | $5K | |
| 00731 | 1,007 | 698 | $5K | |
| 93017 | 34 | 31 | $5K | |
| 12002 | 18 | 18 | $5K | |
| 96376 | 648 | 368 | $5K | |
| D1120 | Prophylaxis - child | 3,361 | 2,908 | $5K |
| 83540 | 694 | 547 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1,189 | 1,000 | $5K |
| 36591 | 217 | 132 | $5K | |
| 81001 | 2,345 | 1,898 | $5K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 988 | 865 | $5K |
| 73130 | 766 | 612 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 816 | 711 | $5K |
| 83735 | 1,129 | 723 | $5K | |
| 81003 | 1,855 | 1,447 | $5K | |
| 96112 | 18 | 14 | $5K | |
| 76770 | 17 | 12 | $5K | |
| 90474 | 4,758 | 4,380 | $4K | |
| 92567 | 162 | 144 | $4K | |
| 73610 | 624 | 527 | $4K | |
| 84075 | 1,688 | 1,158 | $4K | |
| 84155 | 1,702 | 1,170 | $4K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 984 | 863 | $4K |
| 85007 | 847 | 588 | $4K | |
| 83550 | 685 | 538 | $4K | |
| 96375 | Therapeutic injection; each additional sequential IV push | 2,133 | 1,418 | $4K |
| 73630 | 613 | 526 | $4K | |
| 84100 | 1,540 | 1,020 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | 580 | 480 | $4K |
| 99383 | 40 | 38 | $4K | |
| 73590 | 463 | 361 | $4K | |
| 96367 | 41 | 36 | $4K | |
| 73560 | 495 | 399 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2,284 | 889 | $3K |
| 73110 | 550 | 426 | $3K | |
| 43762 | 12 | 12 | $3K | |
| 82043 | 601 | 527 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,256 | 1,086 | $3K |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 1,043 | 914 | $3K |
| 82330 | 668 | 425 | $3K | |
| 90832 | Psychotherapy, 30 minutes with patient | 21 | 13 | $3K |
| 87800 | 754 | 584 | $3K | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 3,141 | 2,731 | $3K |
| 94664 | 196 | 127 | $3K | |
| 93975 | 12 | 12 | $2K | |
| 74019 | 179 | 163 | $2K | |
| 93225 | 31 | 28 | $2K | |
| 73070 | 281 | 214 | $2K | |
| 84439 | 182 | 145 | $2K | |
| 81025 | 2,378 | 1,781 | $2K | |
| 87070 | 797 | 649 | $2K | |
| 85610 | 658 | 528 | $2K | |
| 88720 | 5,196 | 3,657 | $2K | |
| 87040 | 561 | 447 | $2K | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 293 | 155 | $2K |
| J2270 | Injection, morphine sulfate, up to 10 mg | 6,569 | 4,766 | $2K |
| 80320 | 45 | 39 | $2K | |
| 92557 | 30 | 29 | $1K | |
| J2704 | Injection, propofol, 10 mg | 11,252 | 9,140 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 18 | 17 | $1K |
| 83690 | 1,012 | 821 | $1K | |
| 73080 | 124 | 102 | $1K | |
| 94621 | 13 | 13 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,934 | 1,695 | $1K |
| 99381 | 14 | 12 | $1K | |
| 83605 | 585 | 372 | $1K | |
| 87205 | 541 | 428 | $1K | |
| 82784 | 357 | 147 | $1K | |
| 00813 | 271 | 182 | $1K | |
| 73060 | 156 | 127 | $1K | |
| J7999 | Compounded drug, not otherwise classified | 1,734 | 1,522 | $1K |
| J7042 | 5% dextrose/normal saline (500 ml = 1 unit) | 1,603 | 1,021 | $1K |
| 81002 | 944 | 657 | $1K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 11,389 | 9,147 | $1K |
| 86780 | 270 | 225 | $1K | |
| 93226 | 31 | 28 | $1K | |
| 85730 | 651 | 502 | $1K | |
| 73030 | 161 | 124 | $954.57 | |
| 85018 | 467 | 304 | $949.88 | |
| 87186 | 474 | 387 | $925.98 | |
| 87075 | 673 | 550 | $915.92 | |
| 29125 | 87 | 81 | $904.52 | |
| 82435 | 458 | 319 | $888.80 | |
| 99401 | 17 | 12 | $870.09 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 2,885 | 1,976 | $869.95 |
| 87077 | 330 | 240 | $852.06 | |
| J0134 | Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg | 1,283 | 717 | $801.05 |
| 85652 | 1,523 | 1,136 | $795.40 | |
| 84132 | 492 | 348 | $697.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 683 | 356 | $668.51 |
| 86902 | 23 | 12 | $655.90 | |
| 88184 | 15 | 12 | $637.13 | |
| 69200 | 46 | 37 | $631.71 | |
| 69210 | 439 | 402 | $624.59 | |
| 73140 | 66 | 54 | $610.74 | |
| 80143 | 188 | 147 | $599.81 | |
| 84295 | 462 | 320 | $588.98 | |
| 85246 | 14 | 12 | $561.81 | |
| 00300 | 123 | 86 | $561.39 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 168 | 129 | $516.56 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 265 | 134 | $504.09 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 46 | 36 | $503.22 |
| 82077 | 119 | 93 | $459.22 | |
| 90671 | 1,097 | 1,008 | $458.60 | |
| 84156 | 262 | 212 | $423.95 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 1,439 | 1,114 | $422.15 |
| J2274 | Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | 54 | 51 | $397.11 |
| 86703 | 58 | 53 | $374.69 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 1,589 | 989 | $338.26 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 7,301 | 5,766 | $332.49 |
| 73552 | 109 | 92 | $308.54 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1,306 | 859 | $295.22 |
| 80179 | 168 | 133 | $266.65 | |
| 72170 | 78 | 66 | $252.07 | |
| 92652 | 12 | 12 | $234.12 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 1,221 | 485 | $229.51 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 11,226 | 8,928 | $220.74 |
| 82150 | 158 | 126 | $216.76 | |
| A4217 | Sterile water/saline, 500 ml | 766 | 604 | $212.80 |
| 87799 | 16 | 12 | $202.93 | |
| J1170 | Injection, hydromorphone, up to 4 mg | 1,100 | 676 | $191.84 |
| 82785 | 31 | 25 | $190.68 | |
| 87081 | 38 | 28 | $190.35 | |
| 84702 | 29 | 25 | $178.28 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 9,568 | 8,140 | $170.58 |
| 84550 | 35 | 24 | $170.53 | |
| 36406 | 52 | 45 | $165.88 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 3,210 | 2,280 | $160.21 |
| 90688 | 18 | 18 | $150.87 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 9,774 | 8,104 | $143.97 |
| D0272 | Bitewings - two radiographic images | 964 | 698 | $131.15 |
| 87102 | 92 | 70 | $117.13 | |
| J9370 | Vincristine sulfate, 1 mg | 20 | 12 | $97.88 |
| 31720 | 644 | 551 | $94.62 | |
| 99417 | Prolong home eval add 15m | 489 | 423 | $78.83 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 151 | 85 | $77.40 |
| 82550 | 16 | 12 | $63.93 | |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | 262 | 140 | $60.17 |
| J7050 | Infusion, normal saline solution, 250 cc | 1,317 | 769 | $59.61 |
| 90461 | 359 | 346 | $48.63 | |
| 87206 | 28 | 24 | $45.34 | |
| 90480 | 313 | 282 | $42.00 | |
| 82962 | 19 | 12 | $37.97 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 550 | 473 | $37.83 |
| 85660 | 22 | 12 | $37.56 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 249 | 163 | $34.40 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 429 | 323 | $25.60 |
| 87210 | 14 | 12 | $20.13 | |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 49 | 27 | $16.68 |
| J7699 | Noc drugs, inhalation solution administered through dme | 52 | 14 | $15.41 |
| 91318 | 76 | 66 | $10.50 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 77 | 61 | $6.90 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 47 | 46 | $5.24 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 299 | 279 | $3.62 |
| J2004 | Injection, lidocaine hcl with epinephrine, 1 mg | 94 | 93 | $1.23 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 261 | 195 | $0.86 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 101 | 59 | $0.36 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 29 | 19 | $0.25 |
| 00840 | 28 | 15 | $0.00 | |
| J1171 | Injection, hydromorphone, 0.1 mg | 78 | 69 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 525 | 398 | $0.00 |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 57 | 54 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 93 | 93 | $0.00 |
| 91320 | 63 | 59 | $0.00 | |
| 00920 | 14 | 14 | $0.00 | |
| D1110 | Prophylaxis - adult | 13 | 13 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 38 | 38 | $0.00 |
| 00140 | 14 | 14 | $0.00 | |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 14 | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 14 | 14 | $0.00 |
| 76377 | 38 | 29 | $0.00 | |
| 87116 | 13 | 12 | $0.00 | |
| D1310 | 147 | 147 | $0.00 | |
| L8699 | Prosthetic implant, not otherwise specified | 234 | 224 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 89 | 89 | $0.00 |
| D0240 | 224 | 133 | $0.00 | |
| 00126 | 312 | 280 | $0.00 | |
| A9270 | Non-covered item or service | 819 | 232 | $0.00 |
| 94760 | 233 | 191 | $0.00 | |
| D0603 | 154 | 154 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 15 | 12 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 68 | 68 | $0.00 |
| C1769 | Guide wire | 38 | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 143 | 143 | $0.00 |
| 87015 | 13 | 12 | $0.00 | |
| D1330 | 146 | 146 | $0.00 | |
| 91319 | 64 | 60 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 39 | 39 | $0.00 |