SAMANO, IVAN
NPI: 1659468361
· BLOOMFIELD HILLS, MI 48304
· Dentist
· NPI assigned 10/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
292 |
$8K |
| 2019 |
254 |
$7K |
| 2020 |
97 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
311 |
311 |
$8K |
| D1120 |
Prophylaxis - child |
102 |
102 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
161 |
161 |
$4K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$847.00 |
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$650.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$594.00 |