NPI: 1225219355 · CLARKS SUMMIT, PA 18411 · Dentist · NPI assigned 11/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 180 | $10K |
| 2024 | 307 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2160 | 134 | 77 | $9K | |
| D2332 | 123 | 52 | $8K | |
| D1110 | Prophylaxis - adult | 120 | 115 | $4K |
| D0120 | Periodic oral evaluation - established patient | 85 | 78 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $540.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $260.00 |