NPI: 1427245273 · SOUTHINGTON, CT 06489 · General Practice Dentistry · NPI assigned 09/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 187 | $6K |
| 2019 | 100 | $3K |
| 2020 | 43 | $2K |
| 2021 | 68 | $2K |
| 2022 | 41 | $1K |
| 2023 | 25 | $882.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 174 | 163 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 141 | 133 | $4K |
| D0120 | Periodic oral evaluation - established patient | 123 | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $434.88 |
| D1110 | Prophylaxis - adult | 13 | 13 | $432.64 |