NPI: 1154443729 · SOUTHINGTON, CT 06489 · Pediatric Dentist · NPI assigned 04/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 535 | $18K |
| 2019 | 815 | $27K |
| 2020 | 789 | $21K |
| 2021 | 1,047 | $33K |
| 2022 | 1,033 | $36K |
| 2023 | 964 | $34K |
| 2024 | 1,022 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 2,043 | 2,010 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 2,086 | 2,050 | $57K |
| D0120 | Periodic oral evaluation - established patient | 1,651 | 1,630 | $54K |
| D0272 | Bitewings - two radiographic images | 90 | 89 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 29 | $2K |
| D1999 | 305 | 281 | $0.00 |