NPI: 1316041619 · ALPENA, MI 49707 · Dentist · NPI assigned 09/08/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 132 | $3K |
| 2019 | 101 | $2K |
| 2020 | 143 | $4K |
| 2021 | 115 | $3K |
| 2022 | 17 | $458.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 388 | 387 | $10K |
| D1206 | Topical application of fluoride varnish | 66 | 66 | $1K |
| D1120 | Prophylaxis - child | 26 | 26 | $920.00 |
| D1110 | Prophylaxis - adult | 13 | 13 | $637.20 |
| D0272 | Bitewings - two radiographic images | 15 | 15 | $374.00 |