NPI: 1215094750 · DE PERE, WI 54115 · Pediatric Dentist · NPI assigned 01/03/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 289 | $4K |
| 2023 | 571 | $7K |
| 2024 | 659 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 614 | 589 | $5K |
| D1120 | Prophylaxis - child | 392 | 380 | $5K |
| D0120 | Periodic oral evaluation - established patient | 444 | 430 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 15 | 14 | $678.72 |
| D1110 | Prophylaxis - adult | 29 | 27 | $336.90 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $87.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $59.20 |