PETERSEN, CARLY
NPI: 1841844354
· LAKE OSWEGO, OR 97035
· General Practice Dentistry
· NPI assigned 08/01/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
221 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
32 |
32 |
$658.00 |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$392.00 |
| D1206 |
Topical application of fluoride varnish |
37 |
37 |
$323.00 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
38 |
$247.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$210.00 |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$203.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
41 |
32 |
$189.00 |