NPI: 1134165335 · CLINTON, AR 72031 · General Practice Dentistry · NPI assigned 06/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 253 | $7K |
| 2019 | 149 | $4K |
| 2020 | 59 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 279 | 270 | $7K |
| D1110 | Prophylaxis - adult | 78 | 78 | $4K |
| D0272 | Bitewings - two radiographic images | 52 | 52 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 38 | 38 | $748.10 |
| D0140 | Limited oral evaluation - problem focused | 14 | 12 | $478.80 |