BRAILSFORD, ALYSSA
NPI: 1598128886
· MADISON, MS 39110
· Dentist
· NPI assigned 04/04/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$890.55 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
26 |
$665.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
14 |
$370.50 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
13 |
$306.70 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$299.25 |