NPI: 1124504626 · MUSCATINE, IA 52761 · General Practice Dentistry · NPI assigned 07/17/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 193 | $4K |
| 2022 | 436 | $9K |
| 2023 | 525 | $11K |
| 2024 | 674 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 367 | 366 | $14K |
| D1206 | Topical application of fluoride varnish | 741 | 738 | $12K |
| D0120 | Periodic oral evaluation - established patient | 581 | 580 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 88 | 85 | $821.28 |
| D4910 | 12 | 12 | $607.95 | |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $324.36 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $295.57 |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $81.00 |