NPI: 1265149553 · ROSEBURG, OR 97470 · General Practice Dentistry · NPI assigned 11/04/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 796 | $534.00 |
| 2024 | 8,619 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 262 | 258 | $4K |
| D0140 | Limited oral evaluation - problem focused | 240 | 237 | $3K |
| D1110 | Prophylaxis - adult | 182 | 180 | $2K |
| D1354 | 3,983 | 267 | $2K | |
| D1206 | Topical application of fluoride varnish | 277 | 266 | $1K |
| D0603 | 329 | 322 | $990.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 69 | 68 | $798.00 |
| D1355 | 2,567 | 211 | $530.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 28 | 14 | $160.00 |
| D1320 | 35 | 35 | $130.00 | |
| D1321 | 12 | 12 | $80.00 | |
| D1330 | 715 | 665 | $20.00 | |
| D0190 | 21 | 21 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $0.00 |
| D1310 | 583 | 540 | $0.00 | |
| D9995 | 85 | 85 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $0.00 |