NPI: 1396937231 · ANTHEM, AZ 85086 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,298 | $95.00 |
| 2019 | 6,862 | $268.64 |
| 2020 | 6,731 | $2K |
| 2021 | 6,870 | $5K |
| 2022 | 6,748 | $5K |
| 2023 | 5,055 | $2K |
| 2024 | 4,531 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 6,616 | 6,545 | $3K | |
| D0120 | 8,689 | 8,597 | $2K | |
| D1206 | 5,920 | 5,867 | $2K | |
| D1110 | 2,677 | 2,634 | $1K | |
| D0150 | 1,024 | 1,013 | $1K | |
| D0272 | 3,129 | 3,097 | $901.90 | |
| D0330 | 1,342 | 1,333 | $899.09 | |
| D0274 | 2,283 | 2,254 | $838.43 | |
| D2392 | 631 | 345 | $713.78 | |
| D1351 | 1,082 | 286 | $397.08 | |
| D2391 | 340 | 218 | $355.52 | |
| D9230 | 1,126 | 1,050 | $314.98 | |
| D0220 | 1,880 | 1,818 | $219.94 | |
| D1208 | 3,463 | 3,412 | $84.68 | |
| D0140 | 135 | 131 | $72.24 | |
| D0240 | 127 | 81 | $10.00 | |
| D0603 | 1,574 | 1,514 | $0.00 | |
| D0210 | 126 | 124 | $0.00 | |
| D0230 | 311 | 303 | $0.00 | |
| D0601 | 602 | 582 | $0.00 | |
| D3220 | 18 | 12 | $0.00 |