NPI: 1487256392 · LEAGUE CITY, TX 77573 · Dentist · NPI assigned 11/15/2020
| Authorized Official | ADEGUN, OREOLUWA (GENERAL DENTIST) |
| NPI Enumeration Date | 11/15/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 46 | $470.57 |
| 2023 | 185 | $2K |
| 2024 | 476 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 196 | 166 | $2K |
| D1120 | Prophylaxis - child | 56 | 50 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 45 | 39 | $1K |
| D0120 | Periodic oral evaluation - established patient | 70 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 156 | 121 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 86 | 66 | $736.64 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $311.49 |
| D0601 | 73 | 69 | $0.00 | |
| D0603 | 13 | 13 | $0.00 |