BUNMI ADEKUGBE DMD INC
NPI: 1861803454
· LA PORTE, IN 46350
· Dental Clinic/Center
· NPI assigned 05/16/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
159 |
$292.65 |
| 2019 |
100 |
$3K |
| 2020 |
107 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
207 |
193 |
$2K |
| D1110 |
Prophylaxis - adult |
73 |
69 |
$2K |
| D1206 |
Topical application of fluoride varnish |
35 |
26 |
$400.75 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$330.00 |
| D1120 |
Prophylaxis - child |
14 |
12 |
$241.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$35.17 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$0.00 |