NPI: 1245433044 · CARSON CITY, NV 89706 · Dentist · NPI assigned 06/08/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 301 | $13K |
| 2019 | 352 | $16K |
| 2020 | 266 | $12K |
| 2021 | 316 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 525 | 462 | $25K |
| D1206 | Topical application of fluoride varnish | 488 | 428 | $22K |
| D0120 | Periodic oral evaluation - established patient | 161 | 155 | $5K |
| D0140 | Limited oral evaluation - problem focused | 46 | 45 | $1K |
| D0272 | Bitewings - two radiographic images | 15 | 14 | $296.94 |