NPI: 1144550773 · KELSO, WA 98626 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,385 | $10K |
| 2022 | 1,155 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 374 | 373 | $3K | |
| D0220 | 816 | 803 | $2K | |
| D0140 | 371 | 364 | $2K | |
| D0274 | 402 | 402 | $2K | |
| D0230 | 935 | 586 | $1K | |
| D1120 | 177 | 177 | $1K | |
| D1208 | 220 | 219 | $722.00 | |
| D0120 | 254 | 254 | $644.00 | |
| D2392 | 74 | 57 | $639.00 | |
| D7140 | 59 | 42 | $320.00 | |
| D2391 | 44 | 32 | $280.00 | |
| D1110 | 32 | 32 | $235.00 | |
| D0272 | 31 | 31 | $220.00 | |
| D0270 | 84 | 84 | $187.00 | |
| D1310 | 106 | 106 | $0.00 | |
| D1330 | 250 | 249 | $0.00 | |
| D9986 | 311 | 298 | $0.00 |