NPI: 1063547545 · IMMOKALEE, FL 34142 · Pediatric Dentist · NPI assigned 02/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 197 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 35 | 35 | $0.00 |
| D1330 | 48 | 48 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 37 | 37 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 18 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 31 | 30 | $0.00 |
| D1120 | Prophylaxis - child | 28 | 28 | $0.00 |