NPI: 1376683425 · LITCHFIELD PARK, AZ 85340 · Dentist · NPI assigned 02/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $0.00 |
| 2019 | 64 | $0.00 |
| 2022 | 167 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 88 | 88 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 87 | 87 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 29 | 29 | $0.00 |
| D0274 | Bitewings - four radiographic images | 39 | 39 | $0.00 |