NPI: 1356796551 · NORWALK, CT 06851 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/26/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 185 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 22 | 21 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 56 | 18 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 56 | 17 | $0.00 |
| D0274 | Bitewings - four radiographic images | 17 | 15 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 20 | 18 | $0.00 |