NPI: 1447964754 · RALEIGH, NC 27610 · Pediatric Dentist · NPI assigned 01/11/2023
| Authorized Official | JOHNSON, LAREE (OWNER) |
| NPI Enumeration Date | 01/11/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 8,312 | $719K |
| 2024 | 28,798 | $2.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 6,538 | 972 | $885K | |
| D9223 | 2,363 | 2,280 | $548K | |
| D7240 | 1,125 | 383 | $219K | |
| D9420 | 1,861 | 1,816 | $212K | |
| D2934 | 1,153 | 282 | $210K | |
| D7140 | 3,108 | 832 | $188K | |
| D9222 | 2,328 | 2,299 | $168K | |
| D9612 | 1,636 | 1,616 | $97K | |
| D0150 | 1,900 | 1,853 | $81K | |
| D0140 | 2,145 | 2,048 | $77K | |
| D3220 | 633 | 309 | $52K | |
| D2392 | 422 | 144 | $44K | |
| D0230 | 4,359 | 955 | $38K | |
| D1510 | 170 | 110 | $34K | |
| D1351 | 1,002 | 278 | $25K | |
| D0220 | 996 | 950 | $14K | |
| D0330 | 321 | 308 | $10K | |
| D2391 | 108 | 46 | $8K | |
| D0272 | 637 | 617 | $8K | |
| D7210 | 38 | 12 | $4K | |
| D0603 | 4,267 | 3,894 | $0.00 |