NPI: 1245479666 · WASHINGTON, DC 20002 · Dentist · NPI assigned 02/09/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 240 | $9K |
| 2019 | 447 | $4K |
| 2020 | 1,527 | $1K |
| 2021 | 1,078 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 141 | 134 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 170 | 164 | $4K |
| D0120 | Periodic oral evaluation - established patient | 66 | 64 | $2K |
| 3074F | 319 | 229 | $0.00 | |
| 3079F | 112 | 94 | $0.00 | |
| 3044F | 225 | 217 | $0.00 | |
| 3080F | 31 | 25 | $0.00 | |
| 3078F | 244 | 180 | $0.00 | |
| 99499 | 1,968 | 696 | $0.00 | |
| 3077F | 16 | 16 | $0.00 |