NPI: 1386754620 · MANGHAM, LA 71259 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,168 | $189K |
| 2020 | 2,325 | $85K |
| 2021 | 5,802 | $180K |
| 2022 | 5,829 | $198K |
| 2023 | 2,902 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,817 | 1,065 | $136K | |
| D1120 | 3,482 | 3,367 | $108K | |
| D0330 | 2,184 | 2,109 | $97K | |
| D1110 | 2,007 | 1,952 | $84K | |
| D0120 | 3,300 | 3,003 | $76K | |
| D1208 | 3,579 | 3,477 | $63K | |
| D0150 | 1,253 | 1,079 | $48K | |
| D0272 | 2,232 | 2,155 | $38K | |
| D2391 | 547 | 407 | $32K | |
| D1206 | 698 | 667 | $14K | |
| D2393 | 72 | 53 | $7K | |
| D0220 | 538 | 474 | $6K | |
| D0145 | 58 | 56 | $2K | |
| D1351 | 86 | 40 | $2K | |
| D0140 | 155 | 132 | $2K | |
| D7140 | 18 | 14 | $790.70 |