NPI: 1124140603 · HAPPY VALLEY, OR 97015 · General Practice Dentistry · NPI assigned 04/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 87 | $2K |
| 2024 | 176 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 70 | 68 | $3K |
| D1206 | Topical application of fluoride varnish | 133 | 131 | $2K |
| D9310 | 13 | 13 | $540.00 | |
| D0274 | Bitewings - four radiographic images | 15 | 14 | $406.00 |
| D0220 | Intraoral - periapical first radiographic image | 17 | 16 | $208.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 15 | 14 | $126.00 |