NPI: 1386052272 · GODDARD, KS 67052 · Dentist · NPI assigned 07/24/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 92 | $2K |
| 2021 | 274 | $5K |
| 2022 | 679 | $16K |
| 2023 | 640 | $15K |
| 2024 | 601 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 478 | 454 | $14K |
| D0120 | Periodic oral evaluation - established patient | 642 | 610 | $13K |
| D1206 | Topical application of fluoride varnish | 763 | 725 | $13K |
| D1110 | Prophylaxis - adult | 187 | 182 | $7K |
| D0274 | Bitewings - four radiographic images | 152 | 149 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 48 | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 16 | 13 | $151.14 |