SETIA, THEO
NPI: 1821137969
· MONROVIA, CA 91016
· Dentist
· NPI assigned 02/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
524 |
$9K |
| 2019 |
509 |
$12K |
| 2020 |
143 |
$2K |
| 2021 |
237 |
$5K |
| 2022 |
356 |
$12K |
| 2023 |
196 |
$6K |
| 2024 |
90 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,098 |
906 |
$13K |
| D1110 |
Prophylaxis - adult |
141 |
136 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
256 |
248 |
$11K |
| D0274 |
Bitewings - four radiographic images |
449 |
443 |
$9K |
| D1120 |
Prophylaxis - child |
63 |
63 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
18 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$174.00 |