NPI: 1235589482 · DELTONA, FL 32725 · General Practice Dentistry · NPI assigned 06/20/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 400 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 30 | 27 | $4K |
| D0120 | Periodic oral evaluation - established patient | 37 | 36 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 33 | 28 | $841.87 |
| D1206 | Topical application of fluoride varnish | 109 | 104 | $171.20 |
| D1120 | Prophylaxis - child | 80 | 76 | $102.86 |
| D1330 | 111 | 106 | $0.00 |