DESILVA, SUJATHA
NPI: 1639251846
· PORT JERVIS, NY 12771
· General Practice Dentistry
· NPI assigned 10/19/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
65 |
$1K |
| 2019 |
38 |
$920.25 |
| 2020 |
85 |
$2K |
| 2021 |
135 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
230 |
229 |
$5K |
| D1110 |
Prophylaxis - adult |
66 |
66 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$334.80 |