RALLISON, TYLER
NPI: 1891144739
· CLEARFIELD, UT 84015
· Dentist
· NPI assigned 06/10/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
53 |
$6K |
| 2022 |
87 |
$534.79 |
| 2023 |
157 |
$4K |
| 2024 |
330 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
14 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
163 |
140 |
$4K |
| D1110 |
Prophylaxis - adult |
85 |
81 |
$4K |
| D0274 |
Bitewings - four radiographic images |
70 |
68 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
168 |
85 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$1K |
| D1206 |
Topical application of fluoride varnish |
73 |
68 |
$764.00 |