NOBLE, DEANNA
NPI: 1598334336
· CHICAGO, IL 60612
· Pediatric Dentist
· NPI assigned 06/24/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
67 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$540.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$406.25 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$350.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$70.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$42.00 |