NPI: 1245345966 · AMITE, LA 70422 · General Practice Dentistry · NPI assigned 08/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $2K |
| 2020 | 26 | $974.86 |
| 2021 | 12 | $299.23 |
| 2022 | 47 | $2K |
| 2023 | 129 | $5K |
| 2024 | 94 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 178 | 152 | $8K |
| D0120 | Periodic oral evaluation - established patient | 124 | 116 | $3K |
| D0272 | Bitewings - two radiographic images | 46 | 42 | $894.94 |
| D1120 | Prophylaxis - child | 13 | 13 | $455.26 |
| D1208 | Topical application of fluoride, excluding varnish | 16 | 16 | $316.32 |