NPI: 1295852655 · CELINA, OH 45822 · Dentist · NPI assigned 03/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 676 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 199 | 198 | $4K |
| D1120 | Prophylaxis - child | 137 | 136 | $3K |
| D1110 | Prophylaxis - adult | 77 | 77 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 175 | 174 | $3K |
| D0272 | Bitewings - two radiographic images | 88 | 88 | $924.00 |