NPI: 1225581606 · CENTERTON, AR 72719 · General Practice Dentistry · NPI assigned 08/02/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,152 | $16K |
| 2019 | 369 | $6K |
| 2020 | 121 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 422 | 322 | $5K |
| D0120 | Periodic oral evaluation - established patient | 277 | 201 | $4K |
| D1110 | Prophylaxis - adult | 153 | 110 | $4K |
| D0140 | Limited oral evaluation - problem focused | 171 | 130 | $4K |
| D0272 | Bitewings - two radiographic images | 194 | 151 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 295 | 212 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 130 | 102 | $1K |