NPI: 1013096221 · AVONDALE, AZ 85323 · General Practice Dentistry · NPI assigned 11/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 900 | $2K |
| 2019 | 532 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 301 | 254 | $941.40 |
| D0220 | Intraoral - periapical first radiographic image | 376 | 312 | $711.95 |
| D0274 | Bitewings - four radiographic images | 208 | 177 | $693.59 |
| D0230 | Intraoral - periapical each additional radiographic image | 341 | 252 | $437.00 |
| D1120 | Prophylaxis - child | 55 | 53 | $333.00 |
| D1110 | Prophylaxis - adult | 73 | 55 | $323.48 |
| D1208 | Topical application of fluoride, excluding varnish | 78 | 69 | $216.54 |