NPI: 1467461681 · KITTANNING, PA 16201 · General Practice Dentistry · NPI assigned 08/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 145 | $4K |
| 2021 | 310 | $7K |
| 2024 | 12 | $220.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 266 | 263 | $5K |
| D1110 | Prophylaxis - adult | 85 | 85 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 70 | 70 | $1K |
| D1120 | Prophylaxis - child | 32 | 31 | $800.00 |
| D0330 | Panoramic radiographic image | 14 | 14 | $518.00 |