NPI: 1275587289 · LEWISBURG, PA 17837 · Pediatric Dentist · NPI assigned 05/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 401 | $10K |
| 2021 | 3,745 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 622 | 619 | $19K | |
| D0120 | 895 | 893 | $19K | |
| D1208 | 741 | 738 | $14K | |
| D2392 | 189 | 107 | $12K | |
| D1351 | 452 | 78 | $11K | |
| D9230 | 231 | 231 | $10K | |
| D1110 | 276 | 275 | $10K | |
| D0272 | 381 | 379 | $6K | |
| D0330 | 77 | 77 | $3K | |
| D0150 | 96 | 95 | $2K | |
| D2391 | 33 | 24 | $2K | |
| D7140 | 16 | 12 | $1K | |
| D1330 | 124 | 124 | $620.00 | |
| D0602 | 13 | 13 | $130.00 |