RAO, SABITA
NPI: 1730264813
· BANGOR, ME 04401
· General Practice Dentistry
· NPI assigned 10/26/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$0.00 |
| 2022 |
317 |
$0.00 |
| 2023 |
648 |
$0.00 |
| 2024 |
1,238 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
313 |
312 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$0.00 |
| D1120 |
Prophylaxis - child |
470 |
470 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
463 |
463 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
402 |
402 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
277 |
277 |
$0.00 |
| D1330 |
|
62 |
62 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
215 |
215 |
$0.00 |
| D0240 |
|
13 |
13 |
$0.00 |