SUZANNE APPOLITO DDS PA
NPI: 1649373242
· MESQUITE, TX 75150
· Dentist
· NPI assigned 09/07/2006
$835.51
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
53 |
$835.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$346.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$163.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
12 |
$149.63 |