KISPERT, LISA
NPI: 1881894376
· TUALATIN, OR 97062
· Dentist
· NPI assigned 07/23/2007
$118K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
548 |
$15K |
| 2019 |
721 |
$14K |
| 2020 |
339 |
$7K |
| 2021 |
986 |
$20K |
| 2022 |
1,043 |
$25K |
| 2023 |
1,002 |
$22K |
| 2024 |
559 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,570 |
1,550 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
1,297 |
1,293 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,565 |
1,545 |
$26K |
| D0274 |
Bitewings - four radiographic images |
142 |
141 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
65 |
$927.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
26 |
$320.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$304.00 |
| D1999 |
|
33 |
28 |
$217.00 |
| D1330 |
|
484 |
484 |
$0.00 |