NPI: 1245251362 · KELLER, TX 76248 · Pediatric Dentist · NPI assigned 07/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $0.00 |
| 2022 | 285 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 16 | 15 | $551.25 |
| D0230 | Intraoral - periapical each additional radiographic image | 34 | 25 | $367.80 |
| D0220 | Intraoral - periapical first radiographic image | 30 | 28 | $339.12 |
| D0272 | Bitewings - two radiographic images | 15 | 15 | $317.66 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $205.80 |
| D1330 | 38 | 37 | $0.00 | |
| D0603 | 51 | 51 | $0.00 | |
| D1999 | 102 | 92 | $0.00 |