DOSSANTOS, VIRGINIA
NPI: 1558390930
· PORT JEFFERSON STATION, NY 11776
· Dentist
· NPI assigned 06/30/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
65 |
$1K |
| 2021 |
27 |
$865.73 |
| 2022 |
13 |
$322.90 |
| 2023 |
12 |
$314.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$1K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$272.12 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$131.36 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$77.62 |