NPI: 1174627582 · AMITE, LA 70422 · General Practice Dentistry · NPI assigned 09/08/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,385 | $37K |
| 2019 | 1,234 | $36K |
| 2020 | 820 | $23K |
| 2021 | 443 | $12K |
| 2022 | 473 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,022 | 1,016 | $34K |
| D1110 | Prophylaxis - adult | 416 | 410 | $19K |
| D0120 | Periodic oral evaluation - established patient | 705 | 700 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 967 | 960 | $18K |
| D0272 | Bitewings - two radiographic images | 863 | 860 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 90 | 90 | $4K |
| D1351 | Sealant - per tooth | 133 | 51 | $4K |
| D1206 | Topical application of fluoride varnish | 146 | 146 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 13 | 12 | $477.49 |