ETTELBRICK, KELLI
NPI: 1578505038
· FRISCO, TX 75034
· Pediatric Dentist
· NPI assigned 06/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
54 |
$1K |
| 2022 |
86 |
$1K |
| 2023 |
177 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
68 |
62 |
$2K |
| D1206 |
Topical application of fluoride varnish |
121 |
115 |
$2K |
| D1120 |
Prophylaxis - child |
47 |
44 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
14 |
$175.84 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
14 |
$172.65 |
| D0602 |
|
49 |
47 |
$0.00 |