WATERS, MARK
NPI: 1699789586
· CLOVIS, NM 88101
· General Practice Dentistry
· NPI assigned 07/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
177 |
$4K |
| 2019 |
14 |
$244.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
54 |
$942.84 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$764.25 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$716.48 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$503.70 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$482.29 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
33 |
$360.36 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
31 |
$270.32 |