NPI: 1386995223 · SHERWOOD, OR 97140 · Dentist · NPI assigned 10/01/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,285 | $2K |
| 2019 | 6,501 | $8K |
| 2020 | 5,119 | $16K |
| 2021 | 6,251 | $18K |
| 2022 | 4,438 | $872.00 |
| 2023 | 90 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,299 | 836 | $5K | |
| D0210 | 805 | 797 | $5K | |
| D0150 | 1,162 | 1,150 | $5K | |
| D1120 | 1,587 | 1,567 | $4K | |
| D1206 | 3,552 | 3,524 | $4K | |
| D1110 | 1,284 | 1,282 | $4K | |
| D0120 | 2,480 | 2,460 | $4K | |
| D0140 | 926 | 898 | $3K | |
| D4910 | 828 | 825 | $2K | |
| D0220 | 2,548 | 2,471 | $2K | |
| D0274 | 1,425 | 1,413 | $2K | |
| D4341 | 80 | 36 | $1K | |
| D0230 | 2,308 | 1,944 | $1K | |
| D2393 | 134 | 99 | $840.00 | |
| D0330 | 898 | 886 | $520.00 | |
| D2391 | 149 | 101 | $448.00 | |
| D0603 | 630 | 609 | $266.00 | |
| D0270 | 197 | 187 | $154.00 | |
| D1999 | 135 | 120 | $119.00 | |
| D0602 | 566 | 555 | $110.00 | |
| D0272 | 64 | 64 | $100.00 | |
| D4921 | 480 | 198 | $0.00 | |
| D1351 | 51 | 12 | $0.00 | |
| D1330 | 53 | 53 | $0.00 | |
| D9999 | 27 | 26 | $0.00 | |
| D0601 | 16 | 16 | $0.00 |