KLISE, ALEC
NPI: 1871935536
· PERRY, IA 50220
· General Practice Dentistry
· NPI assigned 07/23/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
334 |
$8K |
| 2019 |
446 |
$11K |
| 2020 |
337 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
365 |
364 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
554 |
550 |
$10K |
| D0274 |
Bitewings - four radiographic images |
103 |
102 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
70 |
67 |
$669.97 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$500.74 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$310.97 |