NPI: 1437140217 · MOUNT VERNON, MO 65712 · General Practice Dentistry · NPI assigned 11/02/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 647 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2394 | 158 | 43 | $17K | |
| D0120 | Periodic oral evaluation - established patient | 97 | 97 | $2K |
| D0140 | Limited oral evaluation - problem focused | 90 | 78 | $2K |
| D0274 | Bitewings - four radiographic images | 97 | 97 | $2K |
| D1110 | Prophylaxis - adult | 47 | 47 | $1K |
| D1206 | Topical application of fluoride varnish | 102 | 102 | $1K |
| D1120 | Prophylaxis - child | 56 | 56 | $1K |