NPI: 1083888143 · ROCKY RIVER, OH 44116 · Dentist · NPI assigned 04/18/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 146 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 34 | 34 | $720.00 |
| D1110 | Prophylaxis - adult | 44 | 44 | $648.47 |
| D0120 | Periodic oral evaluation - established patient | 47 | 47 | $324.52 |
| D0150 | Comprehensive oral evaluation - new or established patient | 21 | 21 | $158.10 |