FORTUNATO, PATRICIA ANN
NPI: 1922405117
· PERTH AMBOY, NJ 08861
· General Practice Dentistry
· NPI assigned 12/03/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
509 |
$4K |
| 2019 |
67 |
$933.15 |
| 2020 |
13 |
$280.80 |
| 2021 |
12 |
$52.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
99 |
99 |
$1K |
| D1110 |
Prophylaxis - adult |
69 |
68 |
$951.96 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
12 |
$720.00 |
| D0220 |
Intraoral - periapical first radiographic image |
213 |
211 |
$703.27 |
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$460.58 |
| D1120 |
Prophylaxis - child |
29 |
29 |
$347.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
105 |
103 |
$286.92 |
| D0274 |
Bitewings - four radiographic images |
44 |
44 |
$211.17 |