NPI: 1427062454 · LEES SUMMIT, MO 64064 · General Practice Dentistry · NPI assigned 07/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 317 | $2K |
| 2019 | 278 | $8K |
| 2020 | 837 | $90K |
| 2021 | 1,677 | $256K |
| 2022 | 818 | $160K |
| 2023 | 46 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 186 | 160 | $213K |
| D3320 | 130 | 114 | $126K | |
| D0140 | Limited oral evaluation - problem focused | 1,257 | 1,205 | $75K |
| D3310 | 69 | 42 | $57K | |
| D0220 | Intraoral - periapical first radiographic image | 1,232 | 1,166 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,099 | 1,013 | $20K |