NPI: 1023395332 · LAVALETTE, WV 25535 · General Practice Dentistry · NPI assigned 11/15/2011
| Authorized Official | EVES, GARY (DENTIST) |
| NPI Enumeration Date | 11/15/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $3K |
| 2019 | 14 | $440.00 |
| 2020 | 12 | $240.00 |
| 2024 | 323 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 70 | 70 | $4K |
| D1110 | Prophylaxis - adult | 77 | 75 | $4K |
| D1120 | Prophylaxis - child | 111 | 100 | $3K |
| D0140 | Limited oral evaluation - problem focused | 74 | 72 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 96 | 90 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 63 | 59 | $825.00 |
| D0272 | Bitewings - two radiographic images | 15 | 14 | $175.00 |