BRACKEN, MONLEUDY
NPI: 1679887509
· PORTSMOUTH, VA 23701
· General Practice Dentistry
· NPI assigned 08/03/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
304 |
$7K |
| 2019 |
654 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
250 |
250 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
256 |
256 |
$5K |
| D9630 |
|
234 |
234 |
$4K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D1110 |
Prophylaxis - adult |
35 |
35 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
49 |
48 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
79 |
75 |
$784.60 |