SUTHERLAND, T
NPI: 1811904048
· CASPER, WY 82601
· Dentist
· NPI assigned 08/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$8K |
| 2019 |
200 |
$9K |
| 2020 |
84 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
259 |
259 |
$11K |
| D1110 |
Prophylaxis - adult |
61 |
61 |
$3K |
| D1120 |
Prophylaxis - child |
88 |
88 |
$3K |
| D1999 |
|
70 |
62 |
$612.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$521.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$312.00 |