SPRAY, LARRY
NPI: 1891044426
· PANORA, IA 50216
· Dentist
· NPI assigned 08/29/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
134 |
$2K |
| 2019 |
104 |
$2K |
| 2022 |
62 |
$1K |
| 2023 |
84 |
$2K |
| 2024 |
104 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
310 |
295 |
$6K |
| D1120 |
Prophylaxis - child |
67 |
60 |
$2K |
| D1206 |
Topical application of fluoride varnish |
99 |
99 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$405.21 |