NPI: 1356359046
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 279 | $9K |
| 2022 | 67 | $5K |
| 2023 | 244 | $24K |
| 2024 | 487 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 100 | 47 | $37K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 123 | 114 | $35K |
| D9310 | 327 | 319 | $23K | |
| D7230 | 59 | 32 | $17K | |
| D9222 | 127 | 115 | $14K | |
| D1206 | Topical application of fluoride varnish | 99 | 32 | $3K |
| D0330 | Panoramic radiographic image | 33 | 33 | $3K |
| D1120 | Prophylaxis - child | 69 | 23 | $3K |
| D0274 | Bitewings - four radiographic images | 54 | 18 | $1K |
| D0120 | Periodic oral evaluation - established patient | 57 | 19 | $1K |
| D0431 | 29 | 29 | $986.00 |