NPI: 1245743632 · BROWN DEER, WI 53209 · Dental Hygienist · NPI assigned 11/08/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 891 | $14K |
| 2019 | 351 | $4K |
| 2020 | 269 | $4K |
| 2022 | 464 | $5K |
| 2023 | 173 | $394.16 |
| 2024 | 150 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 479 | 138 | $8K |
| D1120 | Prophylaxis - child | 264 | 258 | $6K |
| D0191 | 584 | 552 | $6K | |
| D1206 | Topical application of fluoride varnish | 520 | 463 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 222 | 212 | $2K |
| D0603 | 82 | 81 | $0.00 | |
| D1330 | 147 | 145 | $0.00 |