MUTYALA, SUBASH
NPI: 1639361538
· ROUND ROCK, TX 78664
· Pediatric Dentist
· NPI assigned 08/14/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
181 |
$3K |
| 2024 |
4,064 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
587 |
587 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
572 |
572 |
$16K |
| D0145 |
Oral evaluation for a patient under three years of age |
103 |
103 |
$14K |
| D0272 |
Bitewings - two radiographic images |
528 |
528 |
$11K |
| D1206 |
Topical application of fluoride varnish |
597 |
597 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
596 |
595 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
544 |
544 |
$6K |
| D0601 |
|
349 |
348 |
$0.00 |
| D0603 |
|
354 |
354 |
$0.00 |
| D0602 |
|
15 |
15 |
$0.00 |