NPI: 1386624245 · SOMERSET, PA 15501 · Pediatric Dentist · NPI assigned 01/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 817 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 285 | 285 | $6K |
| D1120 | Prophylaxis - child | 175 | 175 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 255 | 255 | $5K |
| D1110 | Prophylaxis - adult | 78 | 78 | $3K |
| D0272 | Bitewings - two radiographic images | 24 | 24 | $453.14 |