NPI: 1053097964 · MULLINS, SC 29574 · General Practice Dentistry · NPI assigned 06/26/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 315 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39 | 39 | $757.50 |
| D0120 | Periodic oral evaluation - established patient | 61 | 61 | $521.20 |
| D0274 | Bitewings - four radiographic images | 32 | 32 | $392.00 |
| D1206 | Topical application of fluoride varnish | 53 | 53 | $330.00 |
| D0220 | Intraoral - periapical first radiographic image | 49 | 48 | $204.43 |
| D0230 | Intraoral - periapical each additional radiographic image | 31 | 31 | $175.39 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 50 | 36 | $0.00 |