NPI: 1104815646 · FORT SCOTT, KS 66701 · General Practice Dentistry · NPI assigned 10/18/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,115 | $308K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 4,248 | 664 | $98K | |
| D1120 | 875 | 837 | $25K | |
| D1208 | 1,431 | 1,270 | $22K | |
| D0120 | 1,129 | 1,080 | $22K | |
| D0230 | 2,212 | 924 | $21K | |
| D1110 | 484 | 460 | $17K | |
| D0274 | 720 | 690 | $15K | |
| D2391 | 244 | 110 | $15K | |
| D7140 | 182 | 75 | $15K | |
| D0330 | 394 | 373 | $15K | |
| D0220 | 1,094 | 1,031 | $12K | |
| D2392 | 172 | 90 | $11K | |
| D0272 | 545 | 526 | $10K | |
| D0150 | 257 | 243 | $7K | |
| D0140 | 128 | 121 | $3K |