EVANS, GEORGE
NPI: 1689748071
· OTTUMWA, IA 52501
· General Practice Dentistry
· NPI assigned 11/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
120 |
$2K |
| 2019 |
38 |
$802.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
32 |
32 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
59 |
$842.83 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$605.31 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$441.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$196.44 |
| D0603 |
|
18 |
18 |
$90.00 |