NPI: 1063594273 · BOZEMAN, MT 59715 · Dentist · NPI assigned 10/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,035 | $29K |
| 2019 | 1,770 | $39K |
| 2020 | 770 | $19K |
| 2021 | 215 | $5K |
| 2022 | 228 | $6K |
| 2023 | 541 | $16K |
| 2024 | 217 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 950 | 841 | $30K |
| D1206 | Topical application of fluoride varnish | 1,217 | 1,098 | $23K |
| D1120 | Prophylaxis - child | 688 | 610 | $20K |
| D1310 | 196 | 194 | $9K | |
| D9996 | 305 | 303 | $8K | |
| D1110 | Prophylaxis - adult | 156 | 147 | $7K |
| D1330 | 251 | 249 | $6K | |
| D1354 | 382 | 86 | $6K | |
| D0190 | 166 | 166 | $4K | |
| D0602 | 161 | 161 | $2K | |
| D0120 | Periodic oral evaluation - established patient | 81 | 78 | $2K |
| D0603 | 159 | 159 | $2K | |
| D0425 | 32 | 32 | $818.04 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 17 | $540.48 |
| D9630 | 14 | 14 | $243.04 |