NPI: 1053473314 · BEDFORD, PA 15522 · General Practice Dentistry · NPI assigned 12/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $276.00 |
| 2019 | 18 | $414.00 |
| 2020 | 12 | $276.00 |
| 2021 | 516 | $14K |
| 2024 | 52 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 173 | 173 | $6K |
| D0120 | Periodic oral evaluation - established patient | 282 | 282 | $6K |
| D1120 | Prophylaxis - child | 41 | 41 | $1K |
| D0272 | Bitewings - two radiographic images | 35 | 35 | $544.00 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $456.00 |
| D1208 | Topical application of fluoride, excluding varnish | 24 | 24 | $449.28 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $420.00 |
| D1330 | 13 | 13 | $142.96 | |
| D1310 | 13 | 13 | $140.44 |