MOSS, DAVID
NPI: 1891869731
· HAYDEN, ID 83835
· General Practice Dentistry
· NPI assigned 11/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
607 |
$8K |
| 2019 |
427 |
$4K |
| 2020 |
271 |
$2K |
| 2021 |
246 |
$860.52 |
| 2022 |
126 |
$714.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
167 |
167 |
$10K |
| D1110 |
Prophylaxis - adult |
88 |
88 |
$6K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$596.26 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$166.33 |
| D0120 |
Periodic oral evaluation - established patient |
782 |
782 |
$54.35 |
| D1206 |
Topical application of fluoride varnish |
602 |
601 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$0.00 |