NPI: 1194870121 · ONEONTA, AL 35121 · Pediatric Dentist · NPI assigned 01/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 102 | $2K |
| 2019 | 55 | $1K |
| 2020 | 13 | $216.00 |
| 2024 | 67 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 52 | 51 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 89 | 87 | $1K |
| D0120 | Periodic oral evaluation - established patient | 63 | 62 | $1K |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $240.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 21 | 17 | $0.00 |