NPI: 1124430665 · FRANKLIN, IN 46131 · Dentist · NPI assigned 06/02/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 75 | $4K |
| 2021 | 62 | $2K |
| 2023 | 618 | $17K |
| 2024 | 389 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 237 | 211 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 174 | 125 | $9K |
| D0120 | Periodic oral evaluation - established patient | 297 | 271 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 168 | 132 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 156 | 143 | $3K |
| D0274 | Bitewings - four radiographic images | 41 | 38 | $963.96 |
| D1120 | Prophylaxis - child | 16 | 16 | $414.00 |
| D0220 | Intraoral - periapical first radiographic image | 55 | 44 | $339.26 |