DICOSTANZO, ANTHONY
NPI: 1841240819
· DYER, IN 46311
· General Practice Dentistry
· NPI assigned 05/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
283 |
$2K |
| 2019 |
17 |
$802.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
152 |
137 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
105 |
93 |
$338.70 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
13 |
$142.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
24 |
$89.56 |