NPI: 1457333213 · WARTBURG, TN 37887 · Dentist · NPI assigned 11/17/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 442 | $10K |
| 2019 | 743 | $15K |
| 2020 | 312 | $7K |
| 2021 | 168 | $3K |
| 2022 | 194 | $4K |
| 2023 | 274 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 747 | 736 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 445 | 442 | $8K |
| D0272 | Bitewings - two radiographic images | 514 | 507 | $7K |
| D1120 | Prophylaxis - child | 199 | 197 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 99 | 89 | $3K |
| D1110 | Prophylaxis - adult | 62 | 60 | $2K |
| D0330 | Panoramic radiographic image | 39 | 38 | $1K |
| D1206 | Topical application of fluoride varnish | 28 | 28 | $631.40 |