NPI: 1073913216 · MADISON, WI 53704 · General Practice Dentistry · NPI assigned 08/25/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 72 | $2K |
| 2022 | 463 | $11K |
| 2023 | 687 | $18K |
| 2024 | 815 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 475 | 470 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 174 | 169 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 310 | 303 | $8K |
| D1206 | Topical application of fluoride varnish | 422 | 417 | $7K |
| D0120 | Periodic oral evaluation - established patient | 260 | 257 | $5K |
| D1120 | Prophylaxis - child | 145 | 143 | $4K |
| D0274 | Bitewings - four radiographic images | 99 | 97 | $2K |
| D0191 | 126 | 123 | $2K | |
| D0272 | Bitewings - two radiographic images | 26 | 26 | $487.24 |