NPI: 1194803387 · ENOSBURG FALLS, VT 05450 · General Practice Dentistry · NPI assigned 11/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 610 | $16K |
| 2019 | 635 | $17K |
| 2020 | 158 | $4K |
| 2021 | 207 | $5K |
| 2022 | 217 | $7K |
| 2023 | 319 | $8K |
| 2024 | 74 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 980 | 919 | $25K |
| D1110 | Prophylaxis - adult | 315 | 291 | $14K |
| D1206 | Topical application of fluoride varnish | 459 | 450 | $8K |
| D1120 | Prophylaxis - child | 226 | 222 | $7K |
| D0272 | Bitewings - two radiographic images | 183 | 178 | $4K |
| D0330 | Panoramic radiographic image | 13 | 12 | $654.00 |
| D0140 | Limited oral evaluation - problem focused | 16 | 15 | $576.00 |
| D0220 | Intraoral - periapical first radiographic image | 28 | 26 | $480.00 |