NPI: 1235236563 · SEATTLE, WA 98105 · Pediatric Dentist · NPI assigned 09/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,779 | $39K |
| 2019 | 2,189 | $36K |
| 2020 | 1,296 | $23K |
| 2021 | 1,315 | $26K |
| 2022 | 1,020 | $19K |
| 2023 | 1,061 | $26K |
| 2024 | 998 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,004 | 2,767 | $71K |
| D1120 | Prophylaxis - child | 2,694 | 2,480 | $57K |
| D1206 | Topical application of fluoride varnish | 2,986 | 2,736 | $51K |
| D9999 | Unspecified adjunctive procedure, by report | 443 | 384 | $10K |
| D1999 | 317 | 273 | $4K | |
| D1110 | Prophylaxis - adult | 40 | 39 | $2K |
| D0272 | Bitewings - two radiographic images | 152 | 152 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22 | 20 | $753.68 |