NPI: 1437156957 · MOUNT JOY, PA 17552 · General Practice Dentistry · NPI assigned 06/30/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $432.00 |
| 2021 | 603 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 259 | 259 | $9K |
| D0120 | Periodic oral evaluation - established patient | 214 | 213 | $4K |
| D1206 | Topical application of fluoride varnish | 62 | 62 | $1K |
| D0274 | Bitewings - four radiographic images | 38 | 38 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $560.00 |
| D0330 | Panoramic radiographic image | 14 | 14 | $518.00 |