NPI: 1073658191 · SPOKANE VALLEY, WA 99216 · General Practice Dentistry · NPI assigned 02/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 273 | $5K |
| 2019 | 196 | $2K |
| 2021 | 189 | $4K |
| 2022 | 492 | $10K |
| 2023 | 106 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 675 | 589 | $14K |
| D1206 | Topical application of fluoride varnish | 199 | 183 | $3K |
| D1110 | Prophylaxis - adult | 71 | 68 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 89 | 84 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 141 | 122 | $810.68 |
| D0274 | Bitewings - four radiographic images | 15 | 14 | $188.01 |
| D0230 | Intraoral - periapical each additional radiographic image | 66 | 64 | $118.80 |