PANTALENA, LUIZ
NPI: 1578902235
· BATTLE CREEK, MI 49015
· Dentist
· NPI assigned 06/17/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
252 |
$7K |
| 2019 |
259 |
$7K |
| 2020 |
12 |
$308.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
201 |
200 |
$5K |
| D1120 |
Prophylaxis - child |
131 |
131 |
$5K |
| D1206 |
Topical application of fluoride varnish |
191 |
191 |
$4K |