MATTA, RAJENDAR
NPI: 1780814954
· CORAOPOLIS, PA 15108
· Dentist
· NPI assigned 07/21/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$732.93 |
| 2019 |
13 |
$300.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
13 |
$447.89 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$300.53 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
16 |
$285.04 |