DONALD FANTUZZO, DDS, INC.
NPI: 1679125504
· MARTINSVILLE, IN 46151
· Dental Clinic/Center
· NPI assigned 07/11/2019
Provider Details
| Authorized Official | FANTUZZO, DONALD (OWNER/DENTIST) |
| NPI Enumeration Date | 07/11/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
56 |
$2K |
| 2020 |
117 |
$5K |
| 2021 |
672 |
$24K |
| 2022 |
89 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
264 |
237 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
290 |
263 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
121 |
108 |
$3K |
| D0274 |
Bitewings - four radiographic images |
73 |
58 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
33 |
29 |
$2K |
| D0330 |
Panoramic radiographic image |
52 |
41 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
65 |
56 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
14 |
$608.08 |