NPI: 1235401753 · BLOOMINGTON, IN 47403 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,117 | $20K |
| 2019 | 2,044 | $54K |
| 2020 | 1,324 | $34K |
| 2021 | 1,245 | $31K |
| 2022 | 1,050 | $33K |
| 2023 | 706 | $14K |
| 2024 | 22 | $508.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,746 | 1,597 | $59K | |
| D0120 | 2,409 | 2,178 | $44K | |
| D0274 | 850 | 756 | $24K | |
| D2392 | 258 | 184 | $13K | |
| D0220 | 1,086 | 958 | $11K | |
| D1206 | 1,091 | 969 | $10K | |
| D2391 | 276 | 161 | $9K | |
| D0230 | 646 | 396 | $5K | |
| D0140 | 261 | 239 | $4K | |
| D7140 | 129 | 72 | $2K | |
| D0150 | 255 | 238 | $2K | |
| D1120 | 126 | 101 | $2K | |
| D0210 | 212 | 195 | $2K | |
| D4910 | 32 | 25 | $1K | |
| D0330 | 44 | 39 | $742.00 | |
| D0270 | 12 | 12 | $204.04 | |
| D1208 | 50 | 42 | $51.50 | |
| D2393 | 25 | 15 | $0.00 |