TIETGEN, ASHLEY
NPI: 1932588969
· BELLEVUE, NE 68005
· Pediatric Dentist
· NPI assigned 05/22/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
260 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
62 |
62 |
$2K |
| D1206 |
Topical application of fluoride varnish |
77 |
77 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
30 |
$618.20 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$395.52 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$344.22 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
15 |
$220.97 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$199.40 |