NPI: 1447274170 · BELLE, WV 25015 · General Practice Dentistry · NPI assigned 07/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 104 | $2K |
| 2019 | 136 | $3K |
| 2020 | 190 | $4K |
| 2021 | 118 | $3K |
| 2022 | 122 | $4K |
| 2023 | 36 | $1K |
| 2024 | 148 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 448 | 380 | $11K |
| D1110 | Prophylaxis - adult | 107 | 102 | $6K |
| D0272 | Bitewings - two radiographic images | 91 | 84 | $2K |
| D1120 | Prophylaxis - child | 72 | 59 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 108 | 82 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 28 | 26 | $433.00 |