NPI: 1306375266 · CHARLES CITY, IA 50616 · General Practice Dentistry · NPI assigned 06/05/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 124 | $3K |
| 2019 | 403 | $9K |
| 2020 | 638 | $15K |
| 2021 | 1,086 | $25K |
| 2022 | 1,259 | $28K |
| 2023 | 1,317 | $31K |
| 2024 | 1,220 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,373 | 1,365 | $50K |
| D0120 | Periodic oral evaluation - established patient | 2,312 | 2,290 | $42K |
| D1120 | Prophylaxis - child | 753 | 749 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 1,001 | 990 | $17K |
| D0274 | Bitewings - four radiographic images | 432 | 431 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 138 | 137 | $1K |
| D0272 | Bitewings - two radiographic images | 38 | 38 | $642.89 |