NPI: 1144493099 · POWELL, TN 37849 · General Practice Dentistry · NPI assigned 04/10/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 500 | $13K |
| 2019 | 269 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 183 | 178 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 117 | 116 | $3K |
| D1206 | Topical application of fluoride varnish | 158 | 155 | $3K |
| D0120 | Periodic oral evaluation - established patient | 108 | 102 | $2K |
| D1110 | Prophylaxis - adult | 46 | 43 | $2K |
| D0274 | Bitewings - four radiographic images | 68 | 66 | $1K |
| D0330 | Panoramic radiographic image | 47 | 46 | $1K |
| D0272 | Bitewings - two radiographic images | 30 | 29 | $500.31 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $268.40 |