PINE, TYLER
NPI: 1518690593
· LAS VEGAS, NV 89102
· Student in an Organized Health Care Education/Training Program
· NPI assigned 07/06/2022
$362.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
337 |
$0.00 |
| 2023 |
895 |
$362.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
342 |
332 |
$217.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
363 |
353 |
$145.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
257 |
42 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
20 |
19 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
46 |
45 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
74 |
72 |
$0.00 |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$0.00 |
| D0330 |
Panoramic radiographic image |
113 |
112 |
$0.00 |