HECHAVARRIA SANCHEZ, ILVAIN
NPI: 1871154203
· BALA CYNWYD, PA 19004
· General Practice Dentistry
· NPI assigned 06/26/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$325.00 |
| 2020 |
57 |
$954.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$605.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$430.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$124.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$120.00 |