NPI: 1063570323 · CORYDON, IN 47112 · General Practice Dentistry · NPI assigned 12/05/2006
| Authorized Official | MATTINGLY, ROBERT (DENTIST OWNER) |
| NPI Enumeration Date | 12/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 475 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 137 | 126 | $2K |
| D0120 | Periodic oral evaluation - established patient | 145 | 132 | $914.47 |
| D1208 | Topical application of fluoride, excluding varnish | 111 | 102 | $626.92 |
| D1120 | Prophylaxis - child | 32 | 28 | $207.00 |
| D2140 | 21 | 13 | $204.27 | |
| D0274 | Bitewings - four radiographic images | 14 | 13 | $140.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 13 | $106.50 |