NPI: 1245447200 · LOGAN, WV 25601 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,689 | $99K |
| 2019 | 3,455 | $94K |
| 2020 | 1,226 | $29K |
| 2021 | 252 | $7K |
| 2024 | 674 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,934 | 324 | $51K | |
| D1120 | 885 | 859 | $31K | |
| D0330 | 540 | 517 | $30K | |
| D1110 | 613 | 591 | $29K | |
| D0120 | 1,100 | 1,063 | $26K | |
| D1208 | 1,389 | 1,339 | $25K | |
| D0272 | 1,075 | 1,038 | $23K | |
| D0220 | 594 | 546 | $7K | |
| D0140 | 191 | 167 | $6K | |
| D0150 | 199 | 183 | $5K | |
| D2392 | 47 | 36 | $5K | |
| D7140 | 48 | 27 | $4K | |
| D2391 | 35 | 26 | $3K | |
| D1206 | 126 | 122 | $3K | |
| D0230 | 203 | 96 | $2K | |
| D1999 | 317 | 267 | $0.00 |