NPI: 1003030008 · LEXINGTON, NC 27292 · General Practice Dentistry · NPI assigned 04/12/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,106 | $25K |
| 2019 | 225 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 414 | 378 | $9K |
| D1120 | Prophylaxis - child | 282 | 266 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 451 | 418 | $6K |
| D1110 | Prophylaxis - adult | 127 | 124 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 31 | 29 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13 | 12 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 13 | 12 | $750.75 |