NPI: 1083031850 · WILDWOOD, FL 34785 · Dentist · NPI assigned 03/18/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,017 | $53K |
| 2021 | 1,227 | $20K |
| 2022 | 14,584 | $269K |
| 2023 | 17,664 | $342K |
| 2024 | 13,059 | $213K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 3,419 | 3,371 | $243K | |
| D0120 | 5,022 | 4,951 | $141K | |
| D0330 | 1,912 | 1,882 | $140K | |
| D2392 | 2,524 | 1,280 | $106K | |
| D2393 | 619 | 414 | $68K | |
| D0150 | 1,670 | 1,649 | $48K | |
| D1351 | 8,605 | 2,052 | $40K | |
| D1208 | 6,807 | 6,727 | $24K | |
| D0274 | 3,394 | 3,347 | $23K | |
| D1120 | 3,397 | 3,357 | $23K | |
| D0272 | 2,571 | 2,535 | $13K | |
| D1330 | 6,878 | 6,792 | $7K | |
| D2391 | 240 | 166 | $7K | |
| D9999 | 202 | 202 | $5K | |
| D0210 | 26 | 26 | $4K | |
| D0140 | 198 | 188 | $2K | |
| D0240 | 650 | 500 | $2K | |
| D0220 | 559 | 536 | $1K | |
| D3120 | 132 | 97 | $343.98 | |
| D0230 | 72 | 59 | $258.00 | |
| D0601 | 247 | 237 | $82.00 | |
| D0603 | 251 | 244 | $53.00 | |
| D0602 | 156 | 151 | $27.00 |