COSTE, SAMUEL
NPI: 1851008791
· ROSEBURG, OR 97471
· General Practice Dentistry
· NPI assigned 10/31/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,230 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
75 |
75 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
103 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
412 |
91 |
$1K |
| D0274 |
Bitewings - four radiographic images |
83 |
83 |
$783.00 |
| D0220 |
Intraoral - periapical first radiographic image |
102 |
100 |
$506.00 |
| D0603 |
|
104 |
104 |
$286.00 |
| D1206 |
Topical application of fluoride varnish |
40 |
37 |
$171.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$70.00 |
| D1320 |
|
13 |
13 |
$60.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$40.00 |
| D1354 |
|
45 |
14 |
$30.00 |
| D1310 |
|
113 |
113 |
$0.00 |
| D1330 |
|
113 |
113 |
$0.00 |