ADRIANZA-WEIDANZ, MARIELSA
NPI: 1750495149
· CRESTVIEW, FL 32536
· General Practice Dentistry
· NPI assigned 08/19/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
223 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
29 |
27 |
$859.83 |
| D0230 |
Intraoral - periapical each additional radiographic image |
56 |
21 |
$618.62 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$461.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$459.99 |
| D1206 |
Topical application of fluoride varnish |
31 |
30 |
$410.13 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$312.74 |
| D0602 |
|
33 |
32 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |