NPI: 1457618423 · SMYRNA, TN 37167 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/16/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,019 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 110 | 96 | $52K |
| D2950 | 187 | 154 | $21K | |
| D3310 | 25 | 14 | $8K | |
| D0140 | Limited oral evaluation - problem focused | 274 | 267 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 147 | 139 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 276 | 268 | $3K |