NPI: 1477543932 · COLUMBIA, MO 65201 · Pediatric Dentist · NPI assigned 10/26/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,977 | $471K |
| 2019 | 5,893 | $332K |
| 2020 | 1,440 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,583 | 471 | $290K | |
| D1120 | 2,363 | 2,243 | $107K | |
| D1206 | 2,261 | 2,145 | $89K | |
| D0120 | 1,834 | 1,738 | $71K | |
| D2391 | 433 | 305 | $55K | |
| D7140 | 398 | 191 | $49K | |
| D1351 | 788 | 301 | $33K | |
| D0274 | 614 | 584 | $29K | |
| D9230 | 509 | 461 | $28K | |
| D0272 | 742 | 720 | $25K | |
| D0330 | 251 | 234 | $20K | |
| D0150 | 301 | 299 | $18K | |
| D0220 | 648 | 626 | $14K | |
| D0230 | 316 | 139 | $8K | |
| D9420 | 29 | 26 | $7K | |
| D2392 | 53 | 44 | $7K | |
| D0140 | 48 | 48 | $4K | |
| D0210 | 94 | 57 | $4K | |
| D3220 | 20 | 12 | $2K | |
| D0145 | 12 | 12 | $312.00 | |
| D9995 | 13 | 13 | $234.00 |