NPI: 1407056674 · FORNEY, TX 75126 · Pediatric Dentist · NPI assigned 07/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 317 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 41 | 40 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 54 | 53 | $764.40 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $326.56 |
| D0230 | Intraoral - periapical each additional radiographic image | 13 | 13 | $149.63 |
| D1999 | 66 | 63 | $0.00 | |
| D0603 | 117 | 114 | $0.00 |