NPI: 1316019185 · DOVER, DE 19901 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,290 | $163K |
| 2019 | 4,874 | $204K |
| 2020 | 896 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,623 | 1,612 | $90K | |
| D0150 | 787 | 780 | $55K | |
| D0120 | 1,164 | 1,149 | $48K | |
| D1208 | 1,460 | 1,448 | $45K | |
| D0272 | 960 | 953 | $36K | |
| D0274 | 542 | 536 | $29K | |
| D1110 | 386 | 382 | $28K | |
| D2392 | 113 | 86 | $23K | |
| D1351 | 459 | 188 | $20K | |
| D1206 | 555 | 553 | $19K | |
| D2391 | 48 | 39 | $7K | |
| D0330 | 28 | 27 | $2K | |
| D0220 | 25 | 24 | $598.23 | |
| D0602 | 1,098 | 1,092 | $0.00 | |
| D0603 | 655 | 649 | $0.00 | |
| D0601 | 157 | 155 | $0.00 |