RATTANASAMAY, MALYNN
NPI: 1740620731
· BOISE, ID 83704
· General Practice Dentistry
· NPI assigned 07/05/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
788 |
$14K |
| 2019 |
1,069 |
$18K |
| 2020 |
654 |
$11K |
| 2021 |
474 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
765 |
746 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
604 |
590 |
$11K |
| D1206 |
Topical application of fluoride varnish |
937 |
885 |
$11K |
| D0272 |
Bitewings - two radiographic images |
445 |
435 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
101 |
100 |
$2K |
| D0240 |
|
77 |
36 |
$776.25 |
| D1351 |
Sealant - per tooth |
41 |
12 |
$737.88 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
15 |
$161.60 |