NPI: 1437609260 · FAIRVIEW, PA 16415 · General Practice Dentistry · NPI assigned 10/05/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 331 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 117 | 116 | $2K |
| D1110 | Prophylaxis - adult | 58 | 57 | $2K |
| D1120 | Prophylaxis - child | 56 | 56 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 88 | 88 | $2K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $336.00 |