NPI: 1043328669 · KINGSTON, PA 18704 · Pediatric Dentist · NPI assigned 08/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 33 | $932.50 |
| 2020 | 1,500 | $39K |
| 2021 | 12,216 | $338K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,478 | 2,464 | $74K | |
| D0120 | 3,018 | 2,994 | $60K | |
| D1208 | 2,984 | 2,960 | $54K | |
| D7140 | 488 | 251 | $32K | |
| D2930 | 279 | 172 | $27K | |
| D9248 | 136 | 135 | $25K | |
| D1110 | 680 | 678 | $24K | |
| D2150 | 366 | 204 | $20K | |
| D0330 | 469 | 467 | $17K | |
| D0272 | 929 | 922 | $15K | |
| D1351 | 405 | 123 | $10K | |
| D0274 | 258 | 254 | $7K | |
| D0601 | 403 | 401 | $4K | |
| D0150 | 172 | 172 | $3K | |
| D1330 | 481 | 479 | $2K | |
| D0240 | 137 | 81 | $2K | |
| D9110 | 53 | 53 | $2K | |
| D0602 | 13 | 13 | $130.00 |