NPI: 1275971921 · MANITOWOC, WI 54220 · General Practice Dentistry · NPI assigned 06/04/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 29 | $484.30 |
| 2020 | 33 | $648.00 |
| 2022 | 61 | $1K |
| 2023 | 45 | $764.59 |
| 2024 | 417 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 269 | 224 | $3K |
| D0140 | Limited oral evaluation - problem focused | 74 | 73 | $2K |
| D1206 | Topical application of fluoride varnish | 96 | 90 | $178.34 |
| D0272 | Bitewings - two radiographic images | 27 | 26 | $156.38 |
| D1120 | Prophylaxis - child | 52 | 48 | $122.20 |
| D0120 | Periodic oral evaluation - established patient | 47 | 44 | $66.87 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 13 | $5.42 |