BEYLIN, SIMON
NPI: 1629352661
· LOWELL, MA 01852
· Dentist
· NPI assigned 10/10/2011
$400K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
356 |
$61K |
| 2022 |
1,023 |
$175K |
| 2023 |
926 |
$164K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
436 |
380 |
$349K |
| D0140 |
Limited oral evaluation - problem focused |
703 |
641 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
792 |
714 |
$12K |
| D1206 |
Topical application of fluoride varnish |
204 |
204 |
$7K |
| D1120 |
Prophylaxis - child |
88 |
88 |
$4K |
| D2950 |
|
17 |
13 |
$2K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$2K |
| D0274 |
Bitewings - four radiographic images |
35 |
35 |
$1K |