BOURASSA, NATHAN
NPI: 1669662995
· POST FALLS, ID 83854
· General Practice Dentistry
· NPI assigned 08/01/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
509 |
$12K |
| 2019 |
213 |
$7K |
| 2020 |
236 |
$8K |
| 2021 |
195 |
$6K |
| 2022 |
141 |
$974.26 |
| 2023 |
13 |
$93.26 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
443 |
443 |
$31K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$523.70 |
| D0120 |
Periodic oral evaluation - established patient |
471 |
471 |
$318.04 |
| D0274 |
Bitewings - four radiographic images |
164 |
164 |
$113.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
149 |
149 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
27 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
41 |
$0.00 |