NPI: 1225029333 · MCKEESPORT, PA 15132 · Dentist · NPI assigned 10/31/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 255 | $6K |
| 2019 | 74 | $1K |
| 2020 | 427 | $10K |
| 2021 | 2,489 | $56K |
| 2024 | 448 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,052 | 1,051 | $31K |
| D1206 | Topical application of fluoride varnish | 1,446 | 1,444 | $25K |
| D0120 | Periodic oral evaluation - established patient | 762 | 761 | $15K |
| D1110 | Prophylaxis - adult | 199 | 197 | $7K |
| D0272 | Bitewings - two radiographic images | 193 | 193 | $3K |
| D0274 | Bitewings - four radiographic images | 29 | 29 | $812.00 |
| D0145 | Oral evaluation for a patient under three years of age | 12 | 12 | $231.00 |