NPI: 1427047281 · FEASTERVILLE, PA 19053 · Dentist · NPI assigned 10/14/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,725 | $35K |
| 2020 | 353 | $8K |
| 2021 | 2,338 | $49K |
| 2024 | 26 | $717.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 842 | 836 | $29K |
| D0274 | Bitewings - four radiographic images | 787 | 776 | $21K |
| D0120 | Periodic oral evaluation - established patient | 935 | 927 | $18K |
| D0330 | Panoramic radiographic image | 236 | 229 | $8K |
| D9110 | 218 | 206 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | 794 | 770 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 606 | 601 | $4K |
| D9920 | 12 | 12 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $189.72 |