NPI: 1285693788 · MANSURA, LA 71350 · Dentist · NPI assigned 03/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,134 | $33K |
| 2019 | 1,213 | $37K |
| 2020 | 823 | $24K |
| 2021 | 471 | $13K |
| 2022 | 1,152 | $34K |
| 2023 | 1,042 | $32K |
| 2024 | 509 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,035 | 1,004 | $48K |
| D0120 | Periodic oral evaluation - established patient | 1,642 | 1,598 | $45K |
| D1120 | Prophylaxis - child | 947 | 923 | $31K |
| D0272 | Bitewings - two radiographic images | 1,267 | 1,229 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 496 | 470 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 957 | 931 | $19K |