NPI: 1043286891 · HAMMOND, LA 70401 · General Practice Dentistry · NPI assigned 02/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 299 | $9K |
| 2019 | 406 | $14K |
| 2020 | 126 | $4K |
| 2021 | 28 | $939.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 528 | 481 | $13K |
| D1110 | Prophylaxis - adult | 254 | 228 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $663.18 |
| D1120 | Prophylaxis - child | 12 | 12 | $420.24 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $276.78 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $257.16 |