NPI: 1316080625
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 236 | $35K |
| 2019 | 13 | $405.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D5110 | 19 | 14 | $11K | |
| D5120 | 18 | 13 | $11K | |
| D5750 | 47 | 27 | $7K | |
| D5751 | 26 | 15 | $4K | |
| D5410 | 45 | 29 | $1K | |
| D5411 | 36 | 20 | $778.40 | |
| D0140 | Limited oral evaluation - problem focused | 13 | 12 | $405.36 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19 | 13 | $327.70 |
| D5510 | 26 | 12 | $0.00 |