NPI: 1467292649 · LONDON, KY 40741 · Dentist · NPI assigned 05/28/2024
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 187 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 75 | 75 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 35 | 16 | $3K |
| D0140 | Limited oral evaluation - problem focused | 37 | 33 | $2K |
| D0120 | Periodic oral evaluation - established patient | 28 | 28 | $770.00 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $120.00 |