WITHEM, NICHOLAS
NPI: 1891102752
· FARMINGTON, NM 87402
· Dentist
· NPI assigned 07/11/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
318 |
$11K |
| 2021 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
53 |
13 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
56 |
$2K |
| D9239 |
|
13 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$1K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$863.43 |
| D1208 |
Topical application of fluoride, excluding varnish |
38 |
38 |
$720.55 |
| D0220 |
Intraoral - periapical first radiographic image |
61 |
59 |
$712.33 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$535.16 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$369.58 |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
36 |
$331.42 |
| D9610 |
|
12 |
12 |
$312.83 |