MOSTATAB, REBECCA
NPI: 1730278946
· RIVERTON, UT 84096
· Dentist
· NPI assigned 10/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
107 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
14 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$463.94 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$427.07 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
36 |
$265.37 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
15 |
$114.03 |