BROYLES, IRENE
NPI: 1851503163
· RAYMORE, MO 64083
· General Practice Dentistry
· NPI assigned 05/07/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$537.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$464.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
23 |
$276.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$252.00 |