NPI: 1124104104 · FINKSBURG, MD 21048 · General Practice Dentistry · NPI assigned 10/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 450 | $14K |
| 2019 | 417 | $12K |
| 2020 | 82 | $2K |
| 2021 | 303 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 309 | 305 | $13K |
| D0120 | Periodic oral evaluation - established patient | 429 | 425 | $12K |
| D1206 | Topical application of fluoride varnish | 439 | 434 | $11K |
| D1110 | Prophylaxis - adult | 13 | 13 | $755.95 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $618.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $264.00 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $180.00 |
| D1330 | 26 | 26 | $156.00 |