NPI: 1083345664 · LA GRANGE, NC 28551 · Dentist · NPI assigned 06/23/2022
Authorized official DUFFY, ALICIA controls 20+ related entities in our dataset. Read more
| Authorized Official | DUFFY, ALICIA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 06/23/2022 |
Other providers sharing the same authorized official: DUFFY, ALICIA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,221 | $87K |
| 2023 | 9,891 | $383K |
| 2024 | 13,140 | $452K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,593 | 991 | $172K |
| D1110 | Prophylaxis - adult | 3,423 | 3,375 | $131K |
| D0120 | Periodic oral evaluation - established patient | 3,651 | 3,626 | $93K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 605 | 453 | $78K |
| D0330 | Panoramic radiographic image | 1,442 | 1,395 | $75K |
| D0274 | Bitewings - four radiographic images | 2,157 | 2,101 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,537 | 1,480 | $66K |
| D1120 | Prophylaxis - child | 1,562 | 1,536 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 2,360 | 2,327 | $40K |
| D0140 | Limited oral evaluation - problem focused | 1,001 | 979 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2,063 | 1,972 | $31K |
| D1351 | Sealant - per tooth | 797 | 184 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,613 | 948 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 201 | 151 | $16K |
| D1206 | Topical application of fluoride varnish | 776 | 763 | $13K |
| D0160 | 162 | 151 | $10K | |
| D2394 | 31 | 26 | $5K | |
| D0272 | Bitewings - two radiographic images | 236 | 232 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20 | 13 | $2K |
| D2332 | 22 | 12 | $2K |