NPI: 1285777037 · FAIRFIELD, IA 52556 · Dentist · NPI assigned 02/14/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 119 | $3K |
| 2019 | 12 | $394.02 |
| 2020 | 29 | $587.87 |
| 2021 | 61 | $2K |
| 2022 | 619 | $19K |
| 2023 | 835 | $26K |
| 2024 | 632 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 664 | 657 | $26K |
| D0120 | Periodic oral evaluation - established patient | 1,038 | 1,023 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 157 | 116 | $9K |
| D1120 | Prophylaxis - child | 240 | 234 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 52 | 39 | $4K |
| D0274 | Bitewings - four radiographic images | 73 | 71 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 83 | 80 | $2K |