KURUDIMOVA, TATIANA
NPI: 1659711638
· FEASTERVILLE, PA 19053
· General Practice Dentistry
· NPI assigned 07/05/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
54 |
$2K |
| 2021 |
381 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
181 |
181 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
135 |
135 |
$3K |
| D0274 |
Bitewings - four radiographic images |
62 |
62 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
12 |
$810.36 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$779.60 |