NPI: 1063555043 · FEDERAL HEIGHTS, CO 80260 · General Practice Dentistry · NPI assigned 02/15/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 461 | $8K |
| 2019 | 158 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 273 | 259 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 162 | 155 | $2K |
| D0120 | Periodic oral evaluation - established patient | 85 | 83 | $2K |
| D1110 | Prophylaxis - adult | 46 | 43 | $2K |
| D0274 | Bitewings - four radiographic images | 26 | 26 | $731.25 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $485.55 |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $459.34 |