GRACE, ROBERT
NPI: 1710927843
· LA PORTE, IN 46350
· Public Health Dentist
· NPI assigned 06/07/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
205 |
$3K |
| 2019 |
124 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
107 |
76 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
111 |
90 |
$1K |
| D1206 |
Topical application of fluoride varnish |
40 |
29 |
$534.00 |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
13 |
$527.43 |
| D0274 |
Bitewings - four radiographic images |
26 |
14 |
$186.40 |
| D0330 |
Panoramic radiographic image |
21 |
12 |
$167.76 |