NPI: 1215691316 · BURLINGTON, WA 98233 · Dentist · NPI assigned 10/25/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 653 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 175 | 162 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 122 | 62 | $2K |
| D0274 | Bitewings - four radiographic images | 134 | 80 | $2K |
| D0120 | Periodic oral evaluation - established patient | 128 | 102 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27 | 12 | $975.00 |
| D0272 | Bitewings - two radiographic images | 67 | 46 | $728.00 |