PANTELIDES, KONSTANTINE
NPI: 1538164405
· ALLIANCE, OH 44601
· General Practice Dentistry
· NPI assigned 06/16/2005
$182K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,280 |
$68K |
| 2019 |
1,170 |
$53K |
| 2020 |
403 |
$19K |
| 2021 |
415 |
$18K |
| 2022 |
519 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
2,127 |
684 |
$113K |
| D0330 |
Panoramic radiographic image |
828 |
787 |
$35K |
| D7310 |
|
152 |
107 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
422 |
400 |
$10K |
| D7230 |
|
37 |
24 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
177 |
169 |
$3K |
| D1110 |
Prophylaxis - adult |
44 |
43 |
$1K |