NPI: 1255420337 · LUCEDALE, MS 39452 · General Practice Dentistry · NPI assigned 10/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 774 | $16K |
| 2019 | 193 | $6K |
| 2020 | 119 | $4K |
| 2021 | 101 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 373 | 350 | $12K |
| D1120 | Prophylaxis - child | 368 | 345 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 267 | 247 | $4K |
| D0272 | Bitewings - two radiographic images | 133 | 118 | $2K |
| D0330 | Panoramic radiographic image | 22 | 21 | $887.52 |
| D0140 | Limited oral evaluation - problem focused | 24 | 24 | $868.56 |