NPI: 1326026634 · FIRCREST, WA 98466 · General Practice Dentistry · NPI assigned 01/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 94 | $844.41 |
| 2019 | 22 | $76.76 |
| 2020 | 13 | $231.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 26 | $486.38 |
| D0220 | Intraoral - periapical first radiographic image | 51 | 43 | $260.48 |
| D1110 | Prophylaxis - adult | 12 | 12 | $250.01 |
| D0274 | Bitewings - four radiographic images | 15 | 14 | $115.02 |
| D0230 | Intraoral - periapical each additional radiographic image | 23 | 14 | $40.86 |