NPI: 1083640007 · GRANTS PASS, OR 97526 · Dentist · NPI assigned 06/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 88 | $0.00 |
| 2023 | 385 | $118.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 75 | 68 | $76.00 |
| D0274 | Bitewings - four radiographic images | 34 | 33 | $29.00 |
| D0220 | Intraoral - periapical first radiographic image | 39 | 36 | $13.00 |
| D1110 | Prophylaxis - adult | 13 | 13 | $0.00 |
| D1999 | 62 | 56 | $0.00 | |
| D1330 | 82 | 73 | $0.00 | |
| D1310 | 73 | 65 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 27 | 27 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 37 | 36 | $0.00 |
| D0603 | 31 | 31 | $0.00 |