NPI: 1134180896 · BATESVILLE, IN 47006 · Dentist · NPI assigned 03/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 262 | $5K |
| 2019 | 109 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 123 | 123 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 51 | 51 | $1K |
| D1206 | Topical application of fluoride varnish | 85 | 85 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 43 | 43 | $645.00 |
| D0272 | Bitewings - two radiographic images | 45 | 45 | $450.00 |
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $392.84 |