SANTARSIERO FAMILY DENTAL LLC
NPI: 1760807580
· BLAKELY, PA 18447
· General Practice Dentistry
· NPI assigned 03/03/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$329.40 |
| 2020 |
172 |
$5K |
| 2021 |
842 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
292 |
292 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
357 |
357 |
$7K |
| D0274 |
Bitewings - four radiographic images |
167 |
167 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$1K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
64 |
64 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
14 |
12 |
$770.00 |
| D0220 |
Intraoral - periapical first radiographic image |
61 |
57 |
$480.00 |
| D9110 |
|
12 |
12 |
$329.40 |