NPI: 1144455130 · KILLEEN, TX 76543 · General Practice Dentistry · NPI assigned 05/20/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 634 | $10K |
| 2024 | 124 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 120 | 117 | $3K |
| D1120 | Prophylaxis - child | 50 | 48 | $2K |
| D1206 | Topical application of fluoride varnish | 118 | 115 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 121 | 118 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 104 | 101 | $978.35 |
| D0272 | Bitewings - two radiographic images | 41 | 41 | $760.34 |
| D1110 | Prophylaxis - adult | 13 | 13 | $713.44 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $484.54 |
| D0603 | 177 | 174 | $0.00 |