NPI: 1134552235 · WENTZVILLE, MO 63385 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,671 | $350K |
| 2019 | 3,991 | $252K |
| 2020 | 577 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 673 | 454 | $125K | |
| D2391 | 725 | 442 | $107K | |
| D1120 | 1,228 | 1,191 | $66K | |
| D1206 | 1,471 | 1,427 | $61K | |
| D0120 | 1,396 | 1,349 | $59K | |
| D0330 | 595 | 585 | $58K | |
| D0272 | 980 | 951 | $38K | |
| D1110 | 409 | 399 | $32K | |
| D0274 | 519 | 515 | $26K | |
| D0150 | 273 | 272 | $21K | |
| D0140 | 168 | 163 | $12K | |
| D0220 | 441 | 425 | $11K | |
| D1351 | 211 | 78 | $9K | |
| D1208 | 127 | 124 | $4K | |
| D0230 | 23 | 18 | $890.00 |