DEMARTINO, EDWARD
NPI: 1750507679
· BLAIRSVILLE, PA 15717
· General Practice Dentistry
· NPI assigned 04/18/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$629.00 |
| 2019 |
12 |
$226.61 |
| 2020 |
115 |
$3K |
| 2021 |
909 |
$22K |
| 2024 |
1,628 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
852 |
851 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
877 |
876 |
$17K |
| D1206 |
Topical application of fluoride varnish |
435 |
435 |
$8K |
| D1120 |
Prophylaxis - child |
200 |
200 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
108 |
$2K |
| D0274 |
Bitewings - four radiographic images |
78 |
78 |
$2K |
| D0272 |
Bitewings - two radiographic images |
107 |
107 |
$2K |
| D2140 |
|
15 |
13 |
$675.00 |
| D9110 |
|
24 |
24 |
$630.00 |