FONMEDIG, CLETUS
NPI: 1518129998
· ROSEDALE, MD 21237
· General Practice Dentistry
· NPI assigned 06/27/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$1K |
| 2019 |
15 |
$345.00 |
| 2020 |
30 |
$405.00 |
| 2021 |
56 |
$1K |
| 2022 |
12 |
$276.00 |
| 2023 |
851 |
$35K |
| 2024 |
410 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
244 |
241 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
280 |
270 |
$15K |
| D0330 |
Panoramic radiographic image |
225 |
219 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
354 |
352 |
$8K |
| D0274 |
Bitewings - four radiographic images |
221 |
216 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$953.35 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
30 |
$295.50 |
| D1330 |
|
38 |
38 |
$216.00 |