LEVIYEV, EZRO
NPI: 1700032042
· BRIDGEPORT, CT 06605
· Dentist
· NPI assigned 08/18/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
107 |
$3K |
| 2023 |
330 |
$16K |
| 2024 |
164 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
361 |
103 |
$20K |
| D1110 |
Prophylaxis - adult |
107 |
106 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
14 |
$912.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
50 |
26 |
$495.21 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$458.18 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$318.50 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$237.40 |