PILGRIM, TONY
NPI: 1861545055
· FALL CREEK, WI 54742
· General Practice Dentistry
· NPI assigned 01/19/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
433 |
$9K |
| 2023 |
287 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
264 |
240 |
$5K |
| D1110 |
Prophylaxis - adult |
135 |
124 |
$5K |
| D1206 |
Topical application of fluoride varnish |
177 |
163 |
$3K |
| D1120 |
Prophylaxis - child |
53 |
44 |
$1K |
| D0274 |
Bitewings - four radiographic images |
44 |
42 |
$986.54 |
| D1354 |
|
47 |
17 |
$458.06 |