NPI: 1003987744 · MAYFIELD HTS, OH 44124 · General Practice Dentistry · NPI assigned 11/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 298 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100 | 90 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 35 | 34 | $2K |
| D0120 | Periodic oral evaluation - established patient | 106 | 98 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 57 | 56 | $831.53 |