CHAMPEN, APRIL
NPI: 1902810765
· UTICA, NY 13501
· Dentist
· NPI assigned 07/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
128 |
$6K |
| 2019 |
25 |
$2K |
| 2020 |
42 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
95 |
95 |
$6K |
| D1120 |
Prophylaxis - child |
46 |
46 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$821.75 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$680.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$261.00 |