CLOSURDO, THOMAS
NPI: 1649617903
· SOUTH BEND, IN 46617
· General Practice Dentistry
· NPI assigned 05/28/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$351.65 |
| 2019 |
553 |
$20K |
| 2020 |
607 |
$19K |
| 2021 |
161 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
575 |
557 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
532 |
512 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
93 |
90 |
$3K |
| D0274 |
Bitewings - four radiographic images |
86 |
82 |
$3K |
| D1120 |
Prophylaxis - child |
32 |
26 |
$897.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
96 |
89 |
$792.39 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$161.67 |