FORCHE, AMANDA
NPI: 1780029520
· JACKSON, OH 45640
· Dentist
· NPI assigned 05/07/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$1K |
| 2019 |
12 |
$215.16 |
| 2020 |
143 |
$3K |
| 2021 |
159 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
192 |
192 |
$3K |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
12 |
$967.86 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$425.25 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$273.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$252.00 |