NPI: 1023539699 · EUSTIS, FL 32726 · Pediatric Dentist · NPI assigned 07/04/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,713 | $57K |
| 2022 | 35,906 | $272K |
| 2023 | 9,157 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,830 | 4,047 | $99K | |
| D0150 | 1,967 | 1,626 | $71K | |
| D2930 | 2,013 | 580 | $57K | |
| D1510 | 399 | 271 | $48K | |
| D1110 | 874 | 733 | $19K | |
| D7140 | 1,771 | 738 | $15K | |
| D2392 | 395 | 248 | $11K | |
| D2391 | 748 | 379 | $8K | |
| D1351 | 2,634 | 648 | $6K | |
| D9310 | 452 | 421 | $5K | |
| D9230 | 2,004 | 1,499 | $5K | |
| D0140 | 884 | 754 | $5K | |
| D0330 | 155 | 125 | $4K | |
| D0240 | 2,509 | 1,705 | $4K | |
| D2330 | 326 | 144 | $2K | |
| D0999 | 59 | 59 | $1K | |
| D9920 | 91 | 70 | $914.78 | |
| D0120 | 3,511 | 2,944 | $585.37 | |
| D0230 | 1,688 | 728 | $298.41 | |
| D0272 | 3,685 | 3,065 | $265.69 | |
| D0220 | 1,796 | 1,517 | $124.24 | |
| D0274 | 666 | 564 | $65.40 | |
| D1208 | 5,745 | 4,804 | $41.62 | |
| D1330 | 5,671 | 4,748 | $6.00 | |
| D0602 | 548 | 543 | $3.00 | |
| D0601 | 403 | 402 | $3.00 | |
| D9999 | 262 | 262 | $0.00 | |
| D0603 | 920 | 912 | $0.00 | |
| D0145 | 193 | 176 | $0.00 | |
| D9986 | 565 | 551 | $0.00 | |
| D9987 | 12 | 12 | $0.00 |