NPI: 1023362100 · CANTON, OH 44705 · Dental Clinic/Center · NPI assigned 10/29/2012
Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
| Authorized Official | LARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER) |
| Parent Organization | MERCY MEDICAL CENTER, INC. |
| NPI Enumeration Date | 10/29/2012 |
Other providers sharing the same authorized official: LARAWAY, DENNIS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 454 | $12K |
| 2019 | 1,491 | $36K |
| 2020 | 659 | $13K |
| 2021 | 1,335 | $29K |
| 2022 | 1,389 | $31K |
| 2023 | 496 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,105 | 1,053 | $34K |
| D0120 | Periodic oral evaluation - established patient | 1,295 | 1,216 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 569 | 540 | $13K |
| D0274 | Bitewings - four radiographic images | 749 | 726 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 284 | 270 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 211 | 132 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 208 | 120 | $9K |
| D0330 | Panoramic radiographic image | 221 | 209 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 342 | 335 | $5K |
| D1120 | Prophylaxis - child | 192 | 178 | $4K |
| D1206 | Topical application of fluoride varnish | 210 | 183 | $3K |
| D0140 | Limited oral evaluation - problem focused | 141 | 136 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 27 | 24 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 270 | 248 | $1K |