SIMMONS, KELVIN
NPI: 1922432566
· NEW BRAUNFELS, TX 78130
· General Practice Dentistry
· NPI assigned 08/30/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
531 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
80 |
79 |
$2K |
| D0274 |
Bitewings - four radiographic images |
44 |
43 |
$1K |
| D1351 |
Sealant - per tooth |
50 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
79 |
78 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
73 |
$966.84 |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$932.96 |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
75 |
$916.88 |
| D0603 |
|
98 |
97 |
$0.00 |