NPI: 1396814042 · ROARING SPRING, PA 16673 · General Practice Dentistry · NPI assigned 11/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 634 | $24K |
| 2024 | 609 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 447 | 42 | $25K |
| D5110 | 40 | 40 | $18K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 355 | 351 | $6K |
| D0330 | Panoramic radiographic image | 173 | 173 | $6K |
| D1110 | Prophylaxis - adult | 61 | 61 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 97 | 26 | $842.20 |
| D0220 | Intraoral - periapical first radiographic image | 45 | 42 | $299.05 |
| D0240 | 13 | 13 | $274.70 | |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $180.00 |