NPI: 1043315773 · NORTHGLENN, CO 80233 · General Practice Dentistry · NPI assigned 09/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23 | 13 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 21 | 13 | $2K |
| D0120 | Periodic oral evaluation - established patient | 45 | 45 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $512.36 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $443.96 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $154.70 |