ALB, SANDU
NPI: 1710357074
· PLYMOUTH, MN 55446
· General Practice Dentistry
· NPI assigned 09/30/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
59 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$417.21 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$370.56 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$334.61 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$284.69 |