NPI: 1346418795 · SPARTANBURG, SC 29307 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,280 | $193K |
| 2019 | 4,833 | $168K |
| 2020 | 1,741 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,824 | 1,824 | $92K | |
| D2392 | 881 | 511 | $92K | |
| D0120 | 2,325 | 2,325 | $53K | |
| D1206 | 2,663 | 2,663 | $43K | |
| D0274 | 1,408 | 1,408 | $39K | |
| D1120 | 901 | 901 | $31K | |
| D0330 | 397 | 397 | $20K | |
| D9230 | 521 | 488 | $17K | |
| D1351 | 452 | 131 | $14K | |
| D0150 | 163 | 163 | $7K | |
| D0272 | 214 | 214 | $4K | |
| D7140 | 22 | 12 | $2K | |
| D2391 | 18 | 13 | $1K | |
| D9223 | 12 | 12 | $1K | |
| D9222 | 12 | 12 | $1K | |
| D0140 | 12 | 12 | $462.00 | |
| D0220 | 29 | 29 | $372.07 |