BURGESS, JOHN
NPI: 1568470680
· CHARLESTON, WV 25301
· General Practice Dentistry
· NPI assigned 08/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
124 |
$3K |
| 2019 |
174 |
$3K |
| 2020 |
253 |
$5K |
| 2021 |
474 |
$11K |
| 2022 |
482 |
$15K |
| 2023 |
381 |
$11K |
| 2024 |
172 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,022 |
873 |
$22K |
| D1110 |
Prophylaxis - adult |
335 |
309 |
$16K |
| D1120 |
Prophylaxis - child |
335 |
266 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
277 |
229 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
50 |
$735.50 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$488.40 |
| D1999 |
|
16 |
12 |
$0.00 |