NPI: 1205882321 · CORNELIUS, OR 97113 · General Practice Dentistry · NPI assigned 05/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 765 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 140 | 139 | $3K |
| D0120 | Periodic oral evaluation - established patient | 87 | 87 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 95 | 93 | $1K |
| D1120 | Prophylaxis - child | 19 | 19 | $720.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 66 | 24 | $513.00 |
| D0603 | 36 | 36 | $0.22 | |
| D0602 | 13 | 13 | $0.09 | |
| D1330 | 155 | 154 | $0.00 | |
| D1310 | 154 | 153 | $0.00 |