NPI: 1265729644 · SILOAM SPRINGS, AR 72761 · Dentist · NPI assigned 07/06/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,072 | $77K |
| 2019 | 1,554 | $38K |
| 2020 | 1,075 | $28K |
| 2021 | 184 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 715 | 713 | $30K | |
| D0120 | 1,323 | 1,320 | $27K | |
| D1208 | 1,464 | 1,463 | $22K | |
| D1120 | 648 | 647 | $19K | |
| D2392 | 177 | 120 | $15K | |
| D9230 | 335 | 322 | $8K | |
| D0272 | 252 | 250 | $5K | |
| D0330 | 104 | 104 | $4K | |
| D1351 | 140 | 44 | $3K | |
| D0274 | 113 | 113 | $3K | |
| D0220 | 207 | 207 | $3K | |
| D0230 | 364 | 162 | $3K | |
| D2393 | 16 | 12 | $2K | |
| D0210 | 14 | 14 | $1K | |
| D0150 | 13 | 13 | $319.55 |