NPI: 1205816493 · SOUTHERN PINES, NC 28387 · Dentist · NPI assigned 01/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $303.63 |
| 2023 | 100 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $303.63 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23 | 20 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 33 | 31 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20 | 16 | $0.00 |
| D0350 | 24 | 24 | $0.00 |