NPI: 1144321613 · HAMMOND, LA 70401 · General Practice Dentistry · NPI assigned 09/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 372 | $10K |
| 2019 | 145 | $4K |
| 2020 | 63 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 264 | 264 | $7K |
| D1110 | Prophylaxis - adult | 67 | 67 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 140 | 140 | $3K |
| D0272 | Bitewings - two radiographic images | 69 | 68 | $1K |
| D1120 | Prophylaxis - child | 40 | 40 | $1K |