NPI: 1205808540 · LEBANON, PA 17042 · General Practice Dentistry · NPI assigned 02/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 527 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 181 | 150 | $3K |
| D1120 | Prophylaxis - child | 144 | 112 | $2K |
| D1206 | Topical application of fluoride varnish | 172 | 140 | $2K |
| D1110 | Prophylaxis - adult | 12 | 12 | $395.01 |
| D0272 | Bitewings - two radiographic images | 18 | 13 | $102.90 |