DISANTA, DONALD
NPI: 1548320344
· SOMERSET, PA 15501
· General Practice Dentistry
· NPI assigned 12/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$8K |
| 2022 |
146 |
$4K |
| 2024 |
158 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
43 |
43 |
$22K |
| D5120 |
|
14 |
14 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
166 |
166 |
$3K |
| D1110 |
Prophylaxis - adult |
68 |
68 |
$2K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$1K |
| D1206 |
Topical application of fluoride varnish |
52 |
52 |
$891.00 |