NPI: 1134388366 · HELENA, MT 59601 · General Practice Dentistry · NPI assigned 06/03/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 158 | $9K |
| 2023 | 245 | $9K |
| 2024 | 180 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 345 | 329 | $12K |
| D0330 | Panoramic radiographic image | 136 | 132 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 32 | 12 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $997.62 |
| D3120 | 27 | 13 | $945.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $268.66 |
| D0220 | Intraoral - periapical first radiographic image | 15 | 15 | $266.10 |