NPI: 1073808051 · CARROLL, IA 51401 · General Practice Dentistry · NPI assigned 06/17/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,317 | $30K |
| 2019 | 1,397 | $32K |
| 2020 | 1,215 | $28K |
| 2021 | 1,113 | $27K |
| 2022 | 1,238 | $30K |
| 2023 | 994 | $22K |
| 2024 | 450 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,158 | 2,904 | $60K |
| D1110 | Prophylaxis - adult | 1,467 | 1,343 | $49K |
| D1120 | Prophylaxis - child | 1,432 | 1,313 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 1,487 | 1,368 | $24K |
| D0274 | Bitewings - four radiographic images | 135 | 122 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 30 | 25 | $291.45 |
| D0272 | Bitewings - two radiographic images | 15 | 12 | $280.12 |