NPI: 1407983711 · VILLE PLATTE, LA 70586 · General Practice Dentistry · NPI assigned 02/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 238 | $7K |
| 2019 | 397 | $11K |
| 2020 | 99 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 282 | 281 | $10K |
| D0120 | Periodic oral evaluation - established patient | 279 | 278 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 120 | 119 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $615.81 |
| D1110 | Prophylaxis - adult | 12 | 12 | $576.12 |
| D0272 | Bitewings - two radiographic images | 28 | 27 | $561.47 |