NPI: 1407847916 · VERGENNES, VT 05491 · Dentist · NPI assigned 11/03/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 994 | $28K |
| 2019 | 918 | $25K |
| 2020 | 604 | $17K |
| 2021 | 939 | $26K |
| 2022 | 780 | $24K |
| 2023 | 824 | $32K |
| 2024 | 561 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,544 | 1,483 | $75K |
| D0120 | Periodic oral evaluation - established patient | 2,192 | 2,105 | $57K |
| D0274 | Bitewings - four radiographic images | 587 | 564 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 1,008 | 986 | $18K |
| D1120 | Prophylaxis - child | 272 | 251 | $8K |
| 0120 | 17 | 16 | $0.00 |