NPI: 1265987887 · WINDERMERE, FL 34786 · General Practice Dentistry · NPI assigned 08/24/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 63 | $2K |
| 2023 | 124 | $3K |
| 2024 | 87 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 126 | 126 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 48 | 48 | $1K |
| D0274 | Bitewings - four radiographic images | 28 | 28 | $913.56 |
| D0120 | Periodic oral evaluation - established patient | 17 | 17 | $445.40 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $377.78 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 12 | $203.42 |
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $0.00 |