NPI: 1437238490 · GREELEY, CO 80631 · Dentist · NPI assigned 11/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 456 | $86K |
| 2019 | 356 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 627 | 399 | $140K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 13 | $5K |
| D0140 | Limited oral evaluation - problem focused | 53 | 50 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 88 | 70 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 12 | $2K |