NPI: 1417117474 · NASHUA, NH 03063 · Dentist · NPI assigned 06/12/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 29 | $880.95 |
| 2024 | 1,730 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 406 | 388 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 186 | 167 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 97 | 54 | $9K |
| D1330 | 199 | 188 | $7K | |
| D1206 | Topical application of fluoride varnish | 368 | 348 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 101 | 94 | $6K |
| D0120 | Periodic oral evaluation - established patient | 273 | 256 | $6K |
| D0274 | Bitewings - four radiographic images | 92 | 89 | $2K |
| D1120 | Prophylaxis - child | 37 | 18 | $0.00 |