NPI: 1316072853 · CROWLEY, LA 70526 · General Practice Dentistry · NPI assigned 02/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,180 | $34K |
| 2019 | 565 | $16K |
| 2020 | 138 | $4K |
| 2021 | 14 | $381.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 739 | 739 | $20K |
| D1110 | Prophylaxis - adult | 346 | 343 | $16K |
| D1120 | Prophylaxis - child | 214 | 213 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 370 | 365 | $7K |
| D0272 | Bitewings - two radiographic images | 216 | 214 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $176.28 |