NPI: 1235623596 · HUDSON, CO 80642 · Dentist · NPI assigned 06/20/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 204 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 71 | 47 | $4K |
| D0140 | Limited oral evaluation - problem focused | 67 | 41 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25 | 15 | $1K |
| D1110 | Prophylaxis - adult | 20 | 12 | $797.43 |
| D0274 | Bitewings - four radiographic images | 21 | 13 | $594.00 |