NPI: 1487186953 · BOWIE, MD 20716 · Dentist · NPI assigned 04/03/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 78 | $913.30 |
| 2021 | 118 | $720.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42 | 42 | $1K |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $242.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 17 | $217.00 |
| D0220 | Intraoral - periapical first radiographic image | 18 | 18 | $114.30 |
| D1999 | 104 | 84 | $0.00 |