NPI: 1437223674 · GEORGETOWN, KY 40324 · Dentist · NPI assigned 11/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 134 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36 | 36 | $819.00 |
| D1208 | Topical application of fluoride, excluding varnish | 35 | 35 | $535.95 |
| D1110 | Prophylaxis - adult | 12 | 12 | $519.48 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $322.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 24 | 12 | $168.48 |
| D0220 | Intraoral - periapical first radiographic image | 15 | 13 | $138.24 |