NPI: 1457764953 · MIDLAND, TX 79701 · Dentist · NPI assigned 06/03/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $138.16 |
| 2022 | 93 | $499.92 |
| 2023 | 90 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 43 | 37 | $414.48 |
| D1208 | Topical application of fluoride, excluding varnish | 33 | 29 | $410.13 |
| D0274 | Bitewings - four radiographic images | 14 | 13 | $380.71 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $372.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 43 | 25 | $329.67 |
| D0603 | 50 | 42 | $0.00 |