CHLYSTA, DAVID
NPI: 1902941594
· RAVENNA, OH 44266
· General Practice Dentistry
· NPI assigned 02/21/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
405 |
$6K |
| 2024 |
46 |
$720.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
60 |
54 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
88 |
80 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
121 |
61 |
$686.43 |
| D0274 |
Bitewings - four radiographic images |
34 |
32 |
$637.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
33 |
$555.00 |
| D0220 |
Intraoral - periapical first radiographic image |
85 |
78 |
$457.79 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$270.96 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$260.00 |