NPI: 1053657494 · MARLIN, TX 76661 · Periodontist · NPI assigned 12/12/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 91 | $615.71 |
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 14 | 13 | $294.00 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 13 | $132.30 |
| D0230 | Intraoral - periapical each additional radiographic image | 31 | 13 | $126.61 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 13 | $62.80 |
| D0601 | 30 | 28 | $0.00 |