NPI: 1316022536 · VIENNA, WV 26105 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,291 | $39K |
| 2019 | 686 | $20K |
| 2020 | 1,834 | $57K |
| 2021 | 1,605 | $68K |
| 2022 | 2,504 | $117K |
| 2023 | 1,732 | $100K |
| 2024 | 1,568 | $148K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 1,325 | 1,236 | $270K | |
| D1110 | 1,492 | 1,308 | $65K | |
| D0120 | 2,251 | 1,965 | $53K | |
| D1208 | 2,224 | 1,942 | $48K | |
| D1120 | 1,404 | 1,261 | $47K | |
| D2391 | 561 | 205 | $39K | |
| T1015 | Clinic visit/encounter, all-inclusive | 666 | 618 | $9K |
| D1354 | 125 | 15 | $6K | |
| D0140 | 412 | 377 | $3K | |
| D0272 | 133 | 117 | $3K | |
| D0150 | 282 | 251 | $3K | |
| D2330 | 40 | 12 | $2K | |
| D0274 | 55 | 55 | $598.40 | |
| D1206 | 117 | 116 | $519.00 | |
| D7140 | 34 | 13 | $352.00 | |
| D0220 | 30 | 28 | $66.00 | |
| D0330 | 54 | 54 | $0.00 | |
| D2392 | 15 | 13 | $0.00 |