SAMA, SREELEKHA
NPI: 1528181575
· ADDISON, IL 60101
· General Practice Dentistry
· NPI assigned 04/06/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$1K |
| 2019 |
46 |
$1K |
| 2020 |
14 |
$392.00 |
| 2021 |
40 |
$355.10 |
| 2022 |
70 |
$2K |
| 2023 |
178 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
112 |
107 |
$3K |
| D1120 |
Prophylaxis - child |
72 |
68 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$2K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$797.96 |
| D0220 |
Intraoral - periapical first radiographic image |
121 |
119 |
$737.47 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
31 |
$137.64 |