NPI: 1407912033 · BELLEVUE, WA 98005 · General Practice Dentistry · NPI assigned 12/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 217 | $3K |
| 2019 | 149 | $2K |
| 2020 | 149 | $2K |
| 2021 | 94 | $1K |
| 2022 | 56 | $887.75 |
| 2023 | 71 | $2K |
| 2024 | 13 | $364.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 389 | 345 | $5K |
| D0120 | Periodic oral evaluation - established patient | 216 | 200 | $4K |
| D1999 | 78 | 63 | $980.00 | |
| D1110 | Prophylaxis - adult | 12 | 12 | $577.56 |
| D1120 | Prophylaxis - child | 26 | 24 | $528.54 |
| D0274 | Bitewings - four radiographic images | 28 | 26 | $375.75 |