NPI: 1164562450 · JACKSONVILLE, AL 36265 · Dentist · NPI assigned 02/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 315 | $5K |
| 2019 | 623 | $9K |
| 2020 | 1,506 | $25K |
| 2021 | 646 | $10K |
| 2022 | 624 | $10K |
| 2023 | 1,020 | $26K |
| 2024 | 307 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3,607 | 1,826 | $53K |
| D2394 | 505 | 192 | $25K | |
| D0120 | Periodic oral evaluation - established patient | 543 | 472 | $8K |
| D0274 | Bitewings - four radiographic images | 206 | 171 | $3K |
| D1120 | Prophylaxis - child | 115 | 103 | $2K |
| D0140 | Limited oral evaluation - problem focused | 31 | 25 | $737.80 |
| D1110 | Prophylaxis - adult | 15 | 12 | $330.00 |
| D0272 | Bitewings - two radiographic images | 19 | 12 | $154.50 |