NPI: 1154645471 · BEND, OR 97701 · Pediatric Dentist · NPI assigned 03/15/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 200 | $2K |
| 2021 | 1,296 | $16K |
| 2022 | 423 | $5K |
| 2023 | 563 | $9K |
| 2024 | 67 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 423 | 421 | $16K |
| D1206 | Topical application of fluoride varnish | 399 | 397 | $7K |
| D0120 | Periodic oral evaluation - established patient | 197 | 197 | $5K |
| D0272 | Bitewings - two radiographic images | 152 | 152 | $2K |
| D0603 | 238 | 237 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $909.50 |
| D0240 | 44 | 24 | $702.00 | |
| D1354 | 50 | 15 | $182.00 | |
| D0220 | Intraoral - periapical first radiographic image | 14 | 13 | $143.00 |
| D1999 | 360 | 345 | $0.00 | |
| D1330 | 338 | 338 | $0.00 | |
| D1310 | 294 | 294 | $0.00 | |
| D9920 | 16 | 15 | $0.00 |