NPI: 1134596117 · HAMPTON, IA 50441 · Dentist · NPI assigned 08/26/2015
| Authorized Official | SORENSEN, JACOB (OWNER) |
| NPI Enumeration Date | 08/26/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 145 | $3K |
| 2019 | 305 | $6K |
| 2020 | 295 | $6K |
| 2021 | 312 | $6K |
| 2022 | 513 | $10K |
| 2023 | 371 | $7K |
| 2024 | 208 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 962 | 942 | $18K |
| D1206 | Topical application of fluoride varnish | 774 | 753 | $13K |
| D1120 | Prophylaxis - child | 139 | 137 | $4K |
| D1110 | Prophylaxis - adult | 108 | 106 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 142 | 139 | $2K |
| D0274 | Bitewings - four radiographic images | 24 | 24 | $418.80 |