NPI: 1003650524 · ALTOONA, PA 16602 · General Practice Dentistry · NPI assigned 06/20/2024
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,717 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1354 | 845 | 139 | $26K | |
| D1206 | Topical application of fluoride varnish | 196 | 195 | $4K |
| D1120 | Prophylaxis - child | 105 | 105 | $4K |
| D0120 | Periodic oral evaluation - established patient | 126 | 126 | $3K |
| D1351 | Sealant - per tooth | 91 | 31 | $3K |
| D1330 | 144 | 144 | $2K | |
| D1310 | 139 | 139 | $2K | |
| D1110 | Prophylaxis - adult | 33 | 33 | $1K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $403.98 |
| D1320 | 13 | 13 | $310.57 | |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $257.14 |