SABU, RIYA
NPI: 1730873688
· DREXEL HILL, PA 19026
· Dentist
· NPI assigned 06/05/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
83 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$432.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$392.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$280.00 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$236.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$104.00 |