NPI: 1477610004 · WARREN, MI 48092 · General Practice Dentistry · NPI assigned 01/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 671 | $9K |
| 2019 | 571 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 137 | 96 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 518 | 496 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 318 | 289 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 98 | 98 | $2K |
| D0120 | Periodic oral evaluation - established patient | 117 | 117 | $2K |
| D0274 | Bitewings - four radiographic images | 41 | 41 | $726.82 |
| D1110 | Prophylaxis - adult | 13 | 12 | $359.81 |