NPI: 1427334119 · VERSAILLES, IN 47042 · Dentist · NPI assigned 10/26/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37 | $2K |
| 2019 | 70 | $4K |
| 2020 | 53 | $2K |
| 2021 | 19 | $103.38 |
| 2022 | 109 | $4K |
| 2023 | 185 | $6K |
| 2024 | 71 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 239 | 147 | $13K |
| D0120 | Periodic oral evaluation - established patient | 166 | 132 | $4K |
| D0330 | Panoramic radiographic image | 26 | 24 | $2K |
| D1120 | Prophylaxis - child | 48 | 47 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 32 | 30 | $626.92 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $539.60 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 12 | $103.38 |