NPI: 1407134455 · FLORISSANT, MO 63033 · General Practice Dentistry · NPI assigned 07/25/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 216 | $4K |
| 2022 | 1,208 | $18K |
| 2023 | 508 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 283 | 263 | $7K |
| D1120 | Prophylaxis - child | 144 | 136 | $5K |
| D1206 | Topical application of fluoride varnish | 305 | 287 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 377 | 255 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 282 | 262 | $3K |
| D1110 | Prophylaxis - adult | 73 | 69 | $3K |
| D0274 | Bitewings - four radiographic images | 85 | 78 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 14 | 14 | $1K |
| D0272 | Bitewings - two radiographic images | 35 | 34 | $766.86 |
| D0603 | 166 | 155 | $0.00 | |
| D0602 | 168 | 152 | $0.00 |