NPI: 1083783302 · CROWLEY, LA 70526 · General Practice Dentistry · NPI assigned 11/08/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 150 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 37 | 36 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 59 | 58 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 14 | $615.81 |
| D0272 | Bitewings - two radiographic images | 27 | 26 | $492.89 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $299.64 |