NPI: 1346388840 · COLUMBIA, MD 21044 · General Practice Dentistry · NPI assigned 02/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 761 | $25K |
| 2019 | 884 | $29K |
| 2020 | 610 | $19K |
| 2021 | 623 | $20K |
| 2022 | 227 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,192 | 1,180 | $35K |
| D1120 | Prophylaxis - child | 725 | 714 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 906 | 894 | $21K |
| D1110 | Prophylaxis - adult | 221 | 220 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $669.50 |
| D0272 | Bitewings - two radiographic images | 16 | 16 | $240.00 |
| D1330 | 32 | 32 | $192.00 |