NPI: 1083767834 · LAPLACE, LA 70068 · Dentist · NPI assigned 01/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 226 | $7K |
| 2019 | 503 | $17K |
| 2020 | 157 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 331 | 309 | $14K |
| D0120 | Periodic oral evaluation - established patient | 271 | 261 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 176 | 144 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 52 | 52 | $1K |
| D0274 | Bitewings - four radiographic images | 28 | 26 | $839.28 |
| D0272 | Bitewings - two radiographic images | 28 | 28 | $600.04 |