NPI: 1346437118 · MUNROE FALLS, OH 44262 · Dentist · NPI assigned 09/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $409.65 |
| 2022 | 50 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 16 | 16 | $840.00 |
| D1110 | Prophylaxis - adult | 31 | 30 | $790.86 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 17 | $395.25 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $102.48 |