SADIBASIC, MADELYN
NPI: 1699290064
· TONAWANDA, NY 14150
· Dentist
· NPI assigned 08/07/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
170 |
$4K |
| 2020 |
78 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
40 |
40 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
88 |
88 |
$1K |
| D0274 |
Bitewings - four radiographic images |
32 |
32 |
$881.60 |
| D0330 |
Panoramic radiographic image |
17 |
17 |
$646.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$440.80 |