NPI: 1386050052 · MOUNT PLEASANT, WI 53406 · Dental Hygienist · NPI assigned 07/02/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,541 | $45K |
| 2019 | 3,617 | $52K |
| 2020 | 686 | $9K |
| 2021 | 903 | $11K |
| 2022 | 3,763 | $56K |
| 2023 | 3,278 | $43K |
| 2024 | 3,402 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 3,687 | 3,502 | $77K |
| D1351 | Sealant - per tooth | 6,258 | 1,735 | $74K |
| D1208 | Topical application of fluoride, excluding varnish | 3,478 | 3,186 | $44K |
| D0191 | 4,299 | 4,011 | $44K | |
| D1206 | Topical application of fluoride varnish | 1,165 | 1,156 | $13K |
| D0120 | Periodic oral evaluation - established patient | 229 | 228 | $3K |
| D1110 | Prophylaxis - adult | 74 | 74 | $2K |