AUTRY, DANIEL
NPI: 1740275593
· HOUSE SPRINGS, MO 63051
· Pediatric Dentist
· NPI assigned 09/19/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
351 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
61 |
61 |
$3K |
| D1206 |
Topical application of fluoride varnish |
72 |
71 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
72 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
18 |
18 |
$1K |
| D0272 |
Bitewings - two radiographic images |
36 |
36 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
34 |
$1K |