NPI: 1114137833 · BOGALUSA, LA 70427 · General Practice Dentistry · NPI assigned 05/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $408.19 |
| 2022 | 432 | $12K |
| 2023 | 1,958 | $72K |
| 2024 | 1,125 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 935 | 749 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 577 | 441 | $23K |
| D0120 | Periodic oral evaluation - established patient | 673 | 588 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 390 | 276 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 236 | 78 | $15K |
| D0272 | Bitewings - two radiographic images | 297 | 264 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 272 | 258 | $6K |
| D1120 | Prophylaxis - child | 151 | 143 | $5K |