SORENSON, BRIGHAM
NPI: 1760006621
· FLAGSTAFF, AZ 86001
· Dentist
· NPI assigned 06/05/2020
$632.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$0.00 |
| 2021 |
115 |
$0.00 |
| 2022 |
144 |
$632.85 |
| 2023 |
39 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
112 |
110 |
$260.84 |
| D0230 |
Intraoral - periapical each additional radiographic image |
114 |
28 |
$251.51 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
29 |
$120.50 |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
25 |
24 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |