NPI: 1447634928 · LOWELL, AR 72745 · Dentist · NPI assigned 07/15/2015
| Authorized Official | REITH, MATTHEW (OWNER) |
| NPI Enumeration Date | 07/15/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 61 | $1K |
| 2020 | 83 | $2K |
| 2021 | 343 | $8K |
| 2022 | 1,098 | $28K |
| 2023 | 762 | $19K |
| 2024 | 324 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 896 | 883 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 797 | 787 | $15K |
| D1110 | Prophylaxis - adult | 308 | 302 | $14K |
| D1120 | Prophylaxis - child | 141 | 141 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 236 | 233 | $4K |
| D0272 | Bitewings - two radiographic images | 165 | 164 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 128 | 127 | $2K |