MONTOYA, JOSE
NPI: 1942372446
· BARTLETT, TN 38134
· General Practice Dentistry
· NPI assigned 11/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
64 |
$1K |
| 2023 |
259 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
97 |
97 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
83 |
83 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$807.80 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$150.72 |
| D0603 |
|
102 |
97 |
$0.00 |