NPI: 1053691378 · BONDURANT, IA 50035 · General Practice Dentistry · NPI assigned 08/17/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,230 | $23K |
| 2019 | 385 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 633 | 615 | $9K |
| D1120 | Prophylaxis - child | 441 | 424 | $9K |
| D1110 | Prophylaxis - adult | 197 | 194 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 268 | 262 | $4K |
| D0274 | Bitewings - four radiographic images | 76 | 73 | $2K |