SEIBEL SPYROU LLC
NPI: 1932561040
· SUDBURY, MA 01776
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/28/2016
$134K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
347 |
$10K |
| 2019 |
435 |
$13K |
| 2020 |
487 |
$11K |
| 2021 |
789 |
$23K |
| 2022 |
927 |
$27K |
| 2023 |
771 |
$27K |
| 2024 |
669 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,209 |
1,122 |
$58K |
| D1206 |
Topical application of fluoride varnish |
1,569 |
1,441 |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
1,417 |
1,304 |
$37K |
| D0272 |
Bitewings - two radiographic images |
38 |
38 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$578.00 |
| D1999 |
|
180 |
172 |
$0.00 |