NPI: 1487182259 · CHALFONT, PA 18914 · General Practice Dentistry · NPI assigned 05/24/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $240.00 |
| 2021 | 13 | $260.00 |
| 2024 | 603 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 186 | 184 | $5K |
| D0120 | Periodic oral evaluation - established patient | 131 | 131 | $3K |
| D1120 | Prophylaxis - child | 58 | 58 | $2K |
| D1310 | 135 | 135 | $2K | |
| D1330 | 93 | 93 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 25 | 25 | $500.00 |