NPI: 1083683866 · CANTON, PA 17724 · Dentist · NPI assigned 03/15/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 84 | $2K |
| 2019 | 100 | $3K |
| 2020 | 132 | $4K |
| 2021 | 1,300 | $36K |
| 2024 | 14 | $325.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 496 | 495 | $17K |
| D0120 | Periodic oral evaluation - established patient | 799 | 797 | $16K |
| D1120 | Prophylaxis - child | 160 | 160 | $5K |
| D2140 | 67 | 54 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 54 | 40 | $3K |
| D0272 | Bitewings - two radiographic images | 29 | 29 | $464.00 |
| D0220 | Intraoral - periapical first radiographic image | 25 | 24 | $192.00 |