PETRICOIN, DENNIS
NPI: 1588770176
· WYOMISSING, PA 19610
· General Practice Dentistry
· NPI assigned 08/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37 |
$882.00 |
| 2021 |
582 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
105 |
105 |
$3K |
| D1351 |
Sealant - per tooth |
124 |
22 |
$3K |
| D1206 |
Topical application of fluoride varnish |
128 |
128 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
52 |
52 |
$1K |
| D0272 |
Bitewings - two radiographic images |
44 |
44 |
$672.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$580.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$504.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
47 |
$408.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$364.00 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
47 |
$360.00 |