NASSETTA PEDIATRIC DENTISTRY, LLC
NPI: 1992963193
· CULLMAN, AL 35055
· Pediatric Dentist
· NPI assigned 05/26/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,182 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
307 |
240 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
353 |
276 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
335 |
258 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
81 |
56 |
$1K |
| D0272 |
Bitewings - two radiographic images |
65 |
55 |
$740.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$156.00 |
| D1206 |
Topical application of fluoride varnish |
27 |
13 |
$80.00 |