NPI: 1043766397 · BURLINGTON, KY 41005 · Student in an Organized Health Care Education/Training Program · NPI assigned 08/28/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 29 | $1K |
| 2020 | 152 | $7K |
| 2021 | 125 | $3K |
| 2022 | 80 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 113 | 39 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 50 | 49 | $2K |
| D0330 | Panoramic radiographic image | 40 | 39 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 62 | 62 | $2K |
| D0140 | Limited oral evaluation - problem focused | 68 | 67 | $1K |
| D0274 | Bitewings - four radiographic images | 41 | 41 | $620.00 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $60.00 |