NPI: 1336708999 · FORT PAYNE, AL 35967 · Dentist · NPI assigned 06/07/2019
| Authorized Official | ALLEN, MELISSA (FINANCIAL) |
| Parent Organization | ANTHONY M VIZZINIA |
| NPI Enumeration Date | 06/07/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 78 | $5K |
| 2020 | 105 | $6K |
| 2021 | 65 | $4K |
| 2022 | 43 | $2K |
| 2024 | 112 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0160 | 225 | 222 | $18K | |
| D1120 | Prophylaxis - child | 67 | 66 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 57 | 56 | $996.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $600.00 |
| D1206 | Topical application of fluoride varnish | 15 | 12 | $378.10 |
| D0220 | Intraoral - periapical first radiographic image | 27 | 26 | $350.00 |