NPI: 1215496047 · GLENN DALE, MD 20769 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/19/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 91 | $126.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 40 | 29 | $45.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $44.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $25.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 25 | 14 | $12.00 |