NPI: 1457406407 · DOVER, DE 19901 · General Practice Dentistry · NPI assigned 01/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 231 | $3K |
| 2020 | 81 | $6K |
| 2021 | 408 | $24K |
| 2022 | 427 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 431 | 427 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 53 | 37 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 169 | 169 | $10K |
| D0120 | Periodic oral evaluation - established patient | 214 | 214 | $9K |
| D1206 | Topical application of fluoride varnish | 162 | 158 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 100 | 100 | $2K |
| D0274 | Bitewings - four radiographic images | 18 | 18 | $944.28 |