BASTOS, ISABEL
NPI: 1962788091
· LONG BRANCH, NJ 07740
· Dentist
· NPI assigned 11/03/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$995.00 |
| 2019 |
12 |
$120.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
12 |
12 |
$545.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$450.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$120.00 |