ADAMS, MITRA
NPI: 1679610216
· MONSEY, NY 10952
· General Practice Dentistry
· NPI assigned 01/31/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
159 |
$3K |
| 2019 |
24 |
$605.10 |
| 2021 |
110 |
$2K |
| 2022 |
52 |
$906.00 |
| 2023 |
115 |
$3K |
| 2024 |
115 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
276 |
276 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
103 |
103 |
$1K |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
83 |
83 |
$849.73 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$599.85 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$549.99 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
41 |
$511.20 |