NPI: 1285719153 · ROCKY MOUNT, NC 27804 · Dentist · NPI assigned 10/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 667 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 124 | 124 | $5K |
| D0274 | Bitewings - four radiographic images | 76 | 76 | $2K |
| D0120 | Periodic oral evaluation - established patient | 78 | 78 | $1K |
| D0330 | Panoramic radiographic image | 48 | 48 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 116 | 115 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 58 | 58 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 112 | 112 | $721.65 |
| D0210 | Intraoral - complete series of radiographic images | 55 | 55 | $687.61 |