MIKESELL, THOR
NPI: 1952380974
· SUTTONS BAY, MI 49682
· Dentist
· NPI assigned 01/10/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
314 |
$9K |
| 2019 |
337 |
$8K |
| 2020 |
176 |
$5K |
| 2021 |
379 |
$9K |
| 2022 |
157 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
570 |
570 |
$15K |
| D1206 |
Topical application of fluoride varnish |
426 |
426 |
$10K |
| D1120 |
Prophylaxis - child |
225 |
225 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
57 |
57 |
$918.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
57 |
$486.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$468.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$375.00 |