NPI: 1154596625
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 503 | $13K |
| 2019 | 403 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 457 | 358 | $18K |
| D1206 | Topical application of fluoride varnish | 156 | 154 | $3K |
| 92551 | 154 | 154 | $2K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17 | 17 | $1K |
| 99201 | 23 | 23 | $888.88 | |
| 99411 | 16 | 16 | $221.85 | |
| 99173 | 83 | 82 | $201.60 |