SUSAI, PAMELA
NPI: 1760768576
· WADSWORTH, OH 44281
· Dentist
· NPI assigned 10/25/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
629 |
$11K |
| 2019 |
239 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
417 |
395 |
$6K |
| D1110 |
Prophylaxis - adult |
192 |
187 |
$5K |
| D1120 |
Prophylaxis - child |
117 |
113 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
124 |
120 |
$2K |
| D0274 |
Bitewings - four radiographic images |
18 |
16 |
$280.00 |