NPI: 1093086266 · WILKES BARRE, PA 18702 · General Practice Dentistry · NPI assigned 01/19/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 644 | $8K |
| 2022 | 336 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 244 | 240 | $4K |
| D0274 | Bitewings - four radiographic images | 184 | 182 | $2K |
| D1110 | Prophylaxis - adult | 84 | 82 | $2K |
| D0330 | Panoramic radiographic image | 30 | 30 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 182 | 175 | $812.00 |
| D0140 | Limited oral evaluation - problem focused | 43 | 41 | $692.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 197 | 77 | $432.00 |
| D0210 | Intraoral - complete series of radiographic images | 16 | 14 | $153.00 |