NPI: 1255450870 · DEBARY, FL 32713 · Pediatric Dentist · NPI assigned 03/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 878 | $16K |
| 2021 | 96 | $2K |
| 2022 | 313 | $7K |
| 2023 | 333 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 396 | 396 | $14K |
| D1120 | Prophylaxis - child | 312 | 312 | $14K |
| D1330 | 376 | 376 | $1K | |
| D0272 | Bitewings - two radiographic images | 129 | 129 | $694.77 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 13 | $671.23 |
| D1208 | Topical application of fluoride, excluding varnish | 393 | 393 | $112.30 |