PULTZ, ROBERT
NPI: 1740403260
· NIAGARA, WI 54151
· Dentist
· NPI assigned 04/11/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$659.34 |
| 2019 |
56 |
$715.96 |
| 2020 |
26 |
$296.96 |
| 2021 |
363 |
$4K |
| 2022 |
249 |
$6K |
| 2023 |
196 |
$5K |
| 2024 |
48 |
$787.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
614 |
512 |
$8K |
| D0330 |
Panoramic radiographic image |
100 |
86 |
$4K |
| D1110 |
Prophylaxis - adult |
116 |
103 |
$3K |
| D0272 |
Bitewings - two radiographic images |
148 |
120 |
$2K |