KOUBEK, CATHERINE
NPI: 1730619594
· WILLISTON, FL 32696
· Student in an Organized Health Care Education/Training Program
· NPI assigned 06/14/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
913 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
43 |
43 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
74 |
54 |
$5K |
| D1120 |
Prophylaxis - child |
91 |
89 |
$3K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
57 |
$848.72 |
| D1206 |
Topical application of fluoride varnish |
161 |
158 |
$16.35 |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
85 |
82 |
$0.00 |
| D0603 |
|
121 |
118 |
$0.00 |
| D1330 |
|
137 |
134 |
$0.00 |
| D1351 |
Sealant - per tooth |
77 |
26 |
$0.00 |