SUTTON, SAMANTHA
NPI: 1548469398
· MOUND CITY, MO 64470
· Dentist
· NPI assigned 07/12/2007
1,660
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
892 |
$34K |
| 2019 |
715 |
$24K |
| 2020 |
82 |
$3K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
416 |
414 |
$17K |
| D1120 |
Prophylaxis - child |
310 |
306 |
$16K |
| D1206 |
Topical application of fluoride varnish |
499 |
493 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
279 |
266 |
$7K |
| D0272 |
Bitewings - two radiographic images |
74 |
74 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
81 |
81 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
18 |
14 |
$944.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$337.00 |