LOSMAN, STACEY
NPI: 1740542315
· AIRMONT, NY 10952
· Dentist
· NPI assigned 06/11/2012
$163K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
6,694 |
$163K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
742 |
742 |
$41K |
| D0120 |
Periodic oral evaluation - established patient |
1,366 |
1,366 |
$37K |
| D1120 |
Prophylaxis - child |
636 |
636 |
$26K |
| D0220 |
Intraoral - periapical first radiographic image |
1,318 |
1,318 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,022 |
1,018 |
$14K |
| D1206 |
Topical application of fluoride varnish |
424 |
424 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
909 |
909 |
$12K |
| D0272 |
Bitewings - two radiographic images |
277 |
277 |
$4K |