DE LOS SANTOS, ABNER
NPI: 1710415039
· FAIRPORT, NY 14450
· General Practice Dentistry
· NPI assigned 05/31/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
92 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$826.50 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$627.95 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$212.80 |
| D1999 |
|
32 |
31 |
$0.00 |