BRUNO, LISA
NPI: 1740442672
· WEBSTER, NY 14580
· Pediatric Dentist
· NPI assigned 07/01/2008
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
218 |
$27K |
| 2019 |
718 |
$61K |
| 2020 |
781 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
944 |
150 |
$108K |
| D9999 |
Unspecified adjunctive procedure, by report |
113 |
100 |
$18K |
| D9420 |
|
164 |
163 |
$14K |
| D1120 |
Prophylaxis - child |
162 |
162 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
164 |
164 |
$5K |
| D1206 |
Topical application of fluoride varnish |
63 |
63 |
$2K |
| D0272 |
Bitewings - two radiographic images |
66 |
66 |
$1K |
| D0240 |
|
41 |
38 |
$705.50 |