NPI: 1366433633 · LAS CRUCES, NM 88011 · Pediatric Dentist · NPI assigned 11/04/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 245 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 28 | 14 | $2K |
| D1120 | Prophylaxis - child | 50 | 50 | $2K |
| D0120 | Periodic oral evaluation - established patient | 45 | 45 | $982.35 |
| D1208 | Topical application of fluoride, excluding varnish | 54 | 54 | $942.84 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 25 | 25 | $655.25 |
| D0272 | Bitewings - two radiographic images | 25 | 25 | $491.25 |
| D0220 | Intraoral - periapical first radiographic image | 18 | 18 | $196.56 |