NPI: 1407092760 · BELLEVUE, WA 98004 · General Practice Dentistry · NPI assigned 12/16/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 191 | $7K |
| 2020 | 12 | $0.00 |
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 94 | 90 | $7K |
| D1120 | Prophylaxis - child | 44 | 44 | $0.00 |
| D0274 | Bitewings - four radiographic images | 25 | 24 | $0.00 |
| D1206 | Topical application of fluoride varnish | 40 | 40 | $0.00 |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $0.00 |