NPI: 1043356975 · MALVERN, PA 19355 · Dentist · NPI assigned 01/29/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $468.00 |
| 2021 | 857 | $23K |
| 2024 | 459 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 399 | 399 | $14K |
| D0274 | Bitewings - four radiographic images | 421 | 421 | $11K |
| D0120 | Periodic oral evaluation - established patient | 400 | 400 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 54 | 54 | $1K |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $234.00 |
| D0220 | Intraoral - periapical first radiographic image | 28 | 28 | $224.00 |
| D1310 | 14 | 14 | $156.00 |