NPI: 1336559673 · FLORISSANT, MO 63033 · General Practice Dentistry · NPI assigned 05/07/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,208 | $205K |
| 2019 | 4,497 | $256K |
| 2020 | 1,021 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 668 | 443 | $89K | |
| D1120 | 1,371 | 1,342 | $66K | |
| D1206 | 1,866 | 1,823 | $60K | |
| D0272 | 1,624 | 1,593 | $57K | |
| D0120 | 1,311 | 1,290 | $54K | |
| D1110 | 708 | 692 | $53K | |
| D0330 | 423 | 421 | $42K | |
| D0150 | 415 | 401 | $29K | |
| D0140 | 307 | 288 | $20K | |
| D2392 | 57 | 44 | $12K | |
| D0240 | 285 | 205 | $12K | |
| D1351 | 294 | 99 | $11K | |
| D0220 | 267 | 256 | $8K | |
| D0145 | 111 | 111 | $8K | |
| D7140 | 19 | 13 | $2K |