NPI: 1245338086 · GRAND BLANC, MI 48439 · Pediatric Dentist · NPI assigned 09/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,606 | $232K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 678 | 150 | $133K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 351 | 120 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 251 | 81 | $22K |
| D9420 | 106 | 106 | $15K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 109 | 47 | $10K |
| D2332 | 27 | 13 | $4K | |
| D2330 | 27 | 13 | $2K | |
| D2160 | 18 | 14 | $2K | |
| D0272 | Bitewings - two radiographic images | 27 | 27 | $684.83 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $225.09 |