CONTRERAS, BENJAMIN
NPI: 1750505046
· PASADENA, TX 77506
· General Practice Dentistry
· NPI assigned 04/11/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$1K |
| 2021 |
159 |
$3K |
| 2022 |
97 |
$2K |
| 2023 |
244 |
$5K |
| 2024 |
12 |
$346.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
204 |
202 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
210 |
209 |
$3K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$882.00 |
| D0220 |
Intraoral - periapical first radiographic image |
67 |
67 |
$841.52 |
| D0230 |
Intraoral - periapical each additional radiographic image |
55 |
55 |
$633.05 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$415.32 |