NPI: 1457511024 · SPRINGFIELD, KY 40069 · General Practice Dentistry · NPI assigned 06/16/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 149 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31 | 29 | $1K |
| D0120 | Periodic oral evaluation - established patient | 34 | 31 | $797.50 |
| D1206 | Topical application of fluoride varnish | 40 | 34 | $618.75 |
| D1120 | Prophylaxis - child | 13 | 12 | $542.85 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 13 | $422.50 |
| D1321 | 17 | 16 | $30.00 |