NPI: 1144692484 · GREENVILLE, PA 16125 · Dentist · NPI assigned 10/27/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 254 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 67 | 66 | $2K |
| D0120 | Periodic oral evaluation - established patient | 99 | 95 | $2K |
| D0274 | Bitewings - four radiographic images | 43 | 42 | $1K |
| D1120 | Prophylaxis - child | 32 | 30 | $871.80 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $92.00 |