NPI: 1295221877 · LAURENS, SC 29360 · General Practice Dentistry · NPI assigned 07/06/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 699 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 110 | 110 | $6K |
| D0120 | Periodic oral evaluation - established patient | 147 | 147 | $3K |
| D1206 | Topical application of fluoride varnish | 170 | 170 | $3K |
| D0274 | Bitewings - four radiographic images | 95 | 95 | $3K |
| D1120 | Prophylaxis - child | 42 | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 78 | 78 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 57 | 52 | $584.50 |