KLASSMAN, STUART
NPI: 1710066592
· CLEVELAND HTS, OH 44118
· Dentist
· NPI assigned 11/03/2006
$699.12
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$55.00 |
| 2019 |
68 |
$644.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$240.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
15 |
$239.12 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
37 |
$165.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$55.00 |