NPI: 1295023166 · SPRINGFIELD, OH 45503 · Dentist · NPI assigned 07/13/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 327 | $5K |
| 2019 | 136 | $2K |
| 2020 | 356 | $4K |
| 2021 | 296 | $5K |
| 2022 | 213 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 396 | 390 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 393 | 384 | $6K |
| D0120 | Periodic oral evaluation - established patient | 206 | 204 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 92 | 88 | $2K |
| D0272 | Bitewings - two radiographic images | 108 | 105 | $1K |
| D0240 | 40 | 27 | $504.00 | |
| D0220 | Intraoral - periapical first radiographic image | 44 | 43 | $219.00 |
| D1999 | 49 | 46 | $0.00 |