XU, DAVID
NPI: 1932648201
· VESTAL, NY 13850
· General Practice Dentistry
· NPI assigned 02/18/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$413.25 |
| 2020 |
18 |
$495.90 |
| 2021 |
73 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
70 |
70 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$456.00 |