NPI: 1063080687 · POWELL, OH 43065 · General Practice Dentistry · NPI assigned 06/11/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 306 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 60 | 58 | $700.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 140 | 57 | $695.00 |
| D1110 | Prophylaxis - adult | 16 | 15 | $511.95 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $316.20 |
| D0220 | Intraoral - periapical first radiographic image | 65 | 61 | $315.00 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $204.96 |