KACZKOWSKI, STANLEY
NPI: 1962502831
· CROSS LANES, WV 25313
· General Practice Dentistry
· NPI assigned 09/22/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$2K |
| 2019 |
145 |
$2K |
| 2020 |
117 |
$2K |
| 2021 |
163 |
$6K |
| 2022 |
80 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
234 |
209 |
$6K |
| D1110 |
Prophylaxis - adult |
101 |
100 |
$5K |
| D0330 |
Panoramic radiographic image |
45 |
42 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
90 |
86 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
36 |
$726.00 |
| D1120 |
Prophylaxis - child |
16 |
13 |
$484.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$452.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
22 |
13 |
$130.00 |