NPI: 1295823136 · LAMESA, TX 79331 · Dentist · NPI assigned 10/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 451 | $7K |
| 2019 | 323 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 229 | 227 | $6K |
| D1110 | Prophylaxis - adult | 60 | 60 | $3K |
| D0274 | Bitewings - four radiographic images | 26 | 26 | $899.86 |
| D0230 | Intraoral - periapical each additional radiographic image | 78 | 39 | $897.78 |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $887.32 |
| D0220 | Intraoral - periapical first radiographic image | 69 | 66 | $866.64 |
| D1330 | 22 | 22 | $36.75 | |
| D0601 | 275 | 254 | $0.00 |