OTA, GARRETT
NPI: 1760511026
· HILO, HI 96720
· General Practice Dentistry
· NPI assigned 03/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$2K |
| 2021 |
195 |
$4K |
| 2022 |
84 |
$2K |
| 2023 |
170 |
$5K |
| 2024 |
127 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
256 |
256 |
$9K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
157 |
153 |
$2K |
| D0272 |
Bitewings - two radiographic images |
42 |
42 |
$910.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
66 |
66 |
$876.09 |
| D0230 |
Intraoral - periapical each additional radiographic image |
80 |
75 |
$836.50 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$336.80 |