PETERSON, BENJAMIN
NPI: 1720159080
· ONTARIO, OR 97914
· General Practice Dentistry
· NPI assigned 11/10/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
306 |
$7K |
| 2019 |
337 |
$8K |
| 2020 |
308 |
$7K |
| 2021 |
167 |
$4K |
| 2022 |
378 |
$10K |
| 2023 |
186 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
554 |
552 |
$14K |
| D1110 |
Prophylaxis - adult |
304 |
300 |
$12K |
| D1206 |
Topical application of fluoride varnish |
613 |
610 |
$11K |
| D1120 |
Prophylaxis - child |
84 |
84 |
$3K |
| D0274 |
Bitewings - four radiographic images |
88 |
88 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$522.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$418.00 |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$0.00 |