COSSICH, DIMETRY
NPI: 1578681375
· HARVEY, LA 70058
· General Practice Dentistry
· NPI assigned 03/27/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
44 |
$527.83 |
| 2022 |
85 |
$1K |
| 2023 |
31 |
$496.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
37 |
30 |
$635.35 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
43 |
$586.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
31 |
$434.70 |
| D1110 |
Prophylaxis - adult |
17 |
12 |
$269.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
14 |
$237.24 |