NPI: 1083162044 · TAYLOR, MI 48180 · Dentist · NPI assigned 09/19/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 244 | $7K |
| 2022 | 206 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 253 | 253 | $6K |
| D1120 | Prophylaxis - child | 101 | 101 | $4K |
| D1110 | Prophylaxis - adult | 42 | 42 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 42 | 42 | $954.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $384.80 |