NPI: 1275780439 · FLORENCE, AZ 85132 · Dentist · NPI assigned 08/19/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 128 | $4K |
| 2019 | 180 | $4K |
| 2020 | 265 | $2K |
| 2021 | 43 | $494.26 |
| 2022 | 89 | $2K |
| 2023 | 107 | $2K |
| 2024 | 125 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 310 | 310 | $6K |
| D1120 | Prophylaxis - child | 68 | 66 | $2K |
| D1206 | Topical application of fluoride varnish | 130 | 129 | $2K |
| D0274 | Bitewings - four radiographic images | 79 | 78 | $2K |
| D1110 | Prophylaxis - adult | 52 | 51 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24 | 13 | $1K |
| D0140 | Limited oral evaluation - problem focused | 42 | 40 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 40 | 39 | $410.77 |
| D1999 | 192 | 168 | $307.50 |