MONTGOMERY, TYRUS
NPI: 1871714766
· BOWIE, MD 20715
· General Practice Dentistry
· NPI assigned 05/01/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
74 |
$2K |
| 2021 |
126 |
$4K |
| 2022 |
142 |
$4K |
| 2023 |
475 |
$26K |
| 2024 |
489 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
581 |
572 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
314 |
311 |
$13K |
| D0330 |
Panoramic radiographic image |
255 |
254 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
143 |
143 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$614.38 |