NPI: 1396835575 · GEORGETOWN, TX 78628 · Pediatric Dentist · NPI assigned 10/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 312 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 46 | 45 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 89 | 87 | $1K |
| D1120 | Prophylaxis - child | 26 | 25 | $624.75 |
| D0220 | Intraoral - periapical first radiographic image | 41 | 37 | $364.24 |
| D0603 | 110 | 109 | $0.00 |