SULLIVAN, ALYSSA
NPI: 1699238691
· BROCKPORT, NY 14420
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/08/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
118 |
$4K |
| 2024 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
83 |
83 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$769.95 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$769.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$435.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$170.50 |