NPI: 1013055235 · AMERICAN FORK, UT 84003 · General Practice Dentistry · NPI assigned 02/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 23 | $0.00 |
| 2021 | 112 | $630.23 |
| 2022 | 95 | $391.29 |
| 2023 | 56 | $842.20 |
| 2024 | 150 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 135 | 99 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 150 | 111 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 102 | 75 | $692.23 |
| D1110 | Prophylaxis - adult | 37 | 28 | $109.46 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $0.00 |