NPI: 1174736300 · OREGON, OH 43616 · General Practice Dentistry · NPI assigned 05/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,043 | $21K |
| 2019 | 277 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 438 | 416 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 389 | 385 | $6K |
| D1120 | Prophylaxis - child | 234 | 230 | $5K |
| D1110 | Prophylaxis - adult | 127 | 123 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 108 | 108 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $720.00 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $120.00 |