NPI: 1023747599 · LATHRUP VILLAGE, MI 48076 · Dentist · NPI assigned 06/08/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 222 | $5K |
| 2024 | 137 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 72 | 72 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 148 | 146 | $2K |
| D0274 | Bitewings - four radiographic images | 44 | 44 | $949.48 |
| D0140 | Limited oral evaluation - problem focused | 15 | 15 | $637.29 |
| D0230 | Intraoral - periapical each additional radiographic image | 80 | 75 | $567.80 |