LEWIS, RANDALL
NPI: 1639287253
· DURAND, MI 48473
· General Practice Dentistry
· NPI assigned 08/25/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
263 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
35 |
35 |
$2K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$1K |
| D1206 |
Topical application of fluoride varnish |
47 |
47 |
$1K |
| D0274 |
Bitewings - four radiographic images |
20 |
20 |
$690.00 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
36 |
$577.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
15 |
$246.00 |