NPI: 1386174019 · SOUTHWICK, MA 01077 · General Practice Dentistry · NPI assigned 06/15/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 125 | $4K |
| 2020 | 12 | $375.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 58 | 58 | $2K |
| D0120 | Periodic oral evaluation - established patient | 37 | 37 | $925.00 |
| D1110 | Prophylaxis - adult | 15 | 15 | $675.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 14 | $345.00 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $156.00 |