NPI: 1194175935 · DALLAS, OR 97338 · General Practice Dentistry · NPI assigned 06/13/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 102 | $0.00 |
| 2024 | 667 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 84 | 39 | $3K |
| D0330 | Panoramic radiographic image | 33 | 33 | $104.00 |
| D0274 | Bitewings - four radiographic images | 26 | 26 | $87.00 |
| D0220 | Intraoral - periapical first radiographic image | 58 | 58 | $79.47 |
| D0603 | 31 | 31 | $30.00 | |
| D1310 | 15 | 15 | $0.01 | |
| D1330 | 74 | 74 | $0.00 | |
| D9986 | 448 | 426 | $0.00 |