HALLMARK DENTAL
NPI: 1538460233
· KISSIMMEE, FL 34743
· Dentist
· NPI assigned 11/11/2010
Provider Details
| Authorized Official | OLMOS, RODOLFO (DENTIST) |
| NPI Enumeration Date | 11/11/2010 |
Related Entities
Other providers sharing the same authorized official: OLMOS, RODOLFO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$654.07 |
| 2023 |
1,221 |
$11K |
| 2024 |
1,639 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
144 |
144 |
$10K |
| D1110 |
Prophylaxis - adult |
228 |
227 |
$8K |
| D1206 |
Topical application of fluoride varnish |
417 |
416 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
157 |
157 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
803 |
219 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$676.08 |
| D1330 |
|
325 |
324 |
$631.31 |
| D0274 |
Bitewings - four radiographic images |
135 |
135 |
$195.36 |
| D0350 |
|
152 |
152 |
$177.65 |
| D0220 |
Intraoral - periapical first radiographic image |
232 |
226 |
$123.72 |
| D1310 |
|
237 |
237 |
$0.00 |