MAI, MACY
NPI: 1871942656
· ROSWELL, NM 88201
· General Practice Dentistry
· NPI assigned 06/12/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
144 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
19 |
19 |
$592.42 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$583.53 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$513.75 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
17 |
16 |
$454.41 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$342.26 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
29 |
$255.60 |