OUTLAW, DESIREE
NPI: 1538644471
· EAST HARTFORD, CT 06108
· General Practice Dentistry
· NPI assigned 09/26/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
146 |
$5K |
| 2020 |
17 |
$985.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
54 |
54 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$2K |
| D1120 |
Prophylaxis - child |
16 |
16 |
$688.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$175.00 |