NPI: 1417118209 · HELENA, MT 59601 · General Practice Dentistry · NPI assigned 06/24/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 569 | $15K |
| 2019 | 479 | $15K |
| 2020 | 654 | $11K |
| 2021 | 904 | $13K |
| 2022 | 483 | $14K |
| 2023 | 474 | $15K |
| 2024 | 379 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 850 | 713 | $35K |
| D0120 | Periodic oral evaluation - established patient | 1,465 | 1,316 | $32K |
| D0274 | Bitewings - four radiographic images | 269 | 237 | $8K |
| D1120 | Prophylaxis - child | 192 | 186 | $7K |
| D9920 | 98 | 57 | $4K | |
| D1206 | Topical application of fluoride varnish | 169 | 153 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 127 | 91 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $788.40 |
| D1999 | 756 | 641 | $416.50 |