ROLON, ARIELLE
NPI: 1871089755
· MONROE, NY 10950
· Dentist
· NPI assigned 07/03/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
78 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$630.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$625.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$375.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$75.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$42.00 |