ODEH, LUMA
NPI: 1528442605
· ORLAND PARK, IL 60467
· Dentist
· NPI assigned 07/17/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
146 |
$4K |
| 2019 |
198 |
$5K |
| 2020 |
15 |
$392.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
135 |
126 |
$3K |
| D1120 |
Prophylaxis - child |
58 |
54 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
70 |
65 |
$2K |
| D0274 |
Bitewings - four radiographic images |
56 |
56 |
$878.80 |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$656.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$315.75 |