NPI: 1427502921 · BONHAM, TX 75418 · Dentist · NPI assigned 08/12/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,522 | $25K |
| 2024 | 437 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 243 | 225 | $6K |
| D1120 | Prophylaxis - child | 159 | 149 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 450 | 210 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 304 | 278 | $4K |
| D1110 | Prophylaxis - adult | 57 | 50 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 223 | 209 | $3K |
| D1351 | Sealant - per tooth | 70 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 54 | 47 | $2K |
| D0272 | Bitewings - two radiographic images | 67 | 66 | $2K |
| D0603 | 332 | 319 | $0.00 |