NPI: 1447305008 · INTERNATIONAL FALLS, MN 56649 · General Practice Dentistry · NPI assigned 01/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,120 | $4K |
| 2019 | 923 | $33K |
| 2020 | 368 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 679 | 605 | $15K |
| D0120 | Periodic oral evaluation - established patient | 607 | 604 | $13K |
| D1110 | Prophylaxis - adult | 141 | 141 | $6K |
| D1120 | Prophylaxis - child | 237 | 237 | $5K |
| D1330 | 354 | 349 | $4K | |
| D0274 | Bitewings - four radiographic images | 142 | 142 | $4K |
| D1206 | Topical application of fluoride varnish | 225 | 225 | $3K |
| D0330 | Panoramic radiographic image | 13 | 13 | $907.68 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $0.00 |