NPI: 1376274472 · LOCKHART, TX 78644 · Dentist · NPI assigned 06/20/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 206 | $756.50 |
| 2024 | 204 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 20 | 20 | $1K |
| D1206 | Topical application of fluoride varnish | 75 | 69 | $543.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 26 | $476.82 |
| D1120 | Prophylaxis - child | 14 | 13 | $294.04 |
| D0230 | Intraoral - periapical each additional radiographic image | 84 | 26 | $272.05 |
| D0220 | Intraoral - periapical first radiographic image | 28 | 26 | $131.88 |
| D0603 | 162 | 154 | $0.00 |