NPI: 1447239611 · CEDAR FALLS, IA 50613 · General Practice Dentistry · NPI assigned 01/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,083 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 414 | 293 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 465 | 309 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 246 | 182 | $4K |
| D0272 | Bitewings - two radiographic images | 298 | 212 | $3K |
| D0120 | Periodic oral evaluation - established patient | 298 | 184 | $3K |
| D2330 | 50 | 15 | $2K | |
| D2140 | 58 | 12 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 198 | 147 | $1K |
| D1120 | Prophylaxis - child | 23 | 15 | $245.70 |
| D0230 | Intraoral - periapical each additional radiographic image | 21 | 12 | $161.44 |
| D9430 | 12 | 12 | $0.00 |