NPI: 1447943303 · MIDLAND, TX 79706 · General Practice Dentistry · NPI assigned 05/29/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 117 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 32 | 30 | $396.90 |
| D1120 | Prophylaxis - child | 13 | 13 | $368.25 |
| D0230 | Intraoral - periapical each additional radiographic image | 21 | 12 | $184.16 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 12 | $150.72 |
| D0603 | 38 | 38 | $0.00 |