NPI: 1205908183 · BOARDMAN, OH 44512 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,277 | $160K |
| 2019 | 2,866 | $92K |
| 2020 | 2,328 | $61K |
| 2021 | 6,183 | $130K |
| 2022 | 2,979 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,973 | 994 | $100K | |
| D1110 | 1,973 | 1,967 | $61K | |
| D2393 | 803 | 519 | $49K | |
| D4342 | 686 | 199 | $38K | |
| D0274 | 1,693 | 1,682 | $30K | |
| D0150 | 1,183 | 1,177 | $25K | |
| D2394 | 309 | 226 | $22K | |
| D0120 | 1,416 | 1,409 | $22K | |
| D0140 | 1,052 | 1,011 | $21K | |
| D2391 | 412 | 267 | $20K | |
| D2335 | 211 | 111 | $17K | |
| D0210 | 417 | 366 | $17K | |
| D0230 | 2,848 | 1,876 | $13K | |
| D1206 | 911 | 910 | $13K | |
| D0220 | 2,545 | 2,491 | $11K | |
| D3330 | 25 | 25 | $9K | |
| D0330 | 224 | 221 | $9K | |
| D1208 | 410 | 400 | $6K | |
| D2332 | 83 | 56 | $5K | |
| D4341 | 40 | 12 | $4K | |
| D1120 | 140 | 135 | $3K | |
| D4910 | 65 | 65 | $2K | |
| D0350 | 153 | 153 | $2K | |
| D2950 | 13 | 12 | $918.48 | |
| D1320 | 36 | 36 | $525.00 | |
| D0272 | 12 | 12 | $100.00 |