COSTELLOE, LUISA
NPI: 1912099730
· LONG ISLAND CITY, NY 11103
· Dentist
· NPI assigned 09/29/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184 |
$3K |
| 2019 |
125 |
$2K |
| 2020 |
197 |
$3K |
| 2021 |
316 |
$5K |
| 2022 |
166 |
$3K |
| 2023 |
407 |
$7K |
| 2024 |
90 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
287 |
286 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
484 |
477 |
$8K |
| D0274 |
Bitewings - four radiographic images |
213 |
213 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
260 |
259 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
226 |
226 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$227.00 |