PRATT, SAMUEL
NPI: 1568420859
· MONCKS CORNER, SC 29461
· General Practice Dentistry
· NPI assigned 05/03/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
144 |
$3K |
| 2019 |
105 |
$2K |
| 2020 |
12 |
$227.28 |
| 2021 |
83 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
131 |
131 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
122 |
122 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$554.40 |