NPI: 1487628053 · KANSAS CITY, MO 64111 · Pediatric Dentist · NPI assigned 02/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 755 | $15K |
| 2019 | 1,053 | $18K |
| 2020 | 309 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 693 | 671 | $14K |
| D0120 | Periodic oral evaluation - established patient | 330 | 321 | $8K |
| D1206 | Topical application of fluoride varnish | 522 | 508 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 157 | 149 | $5K |
| D0272 | Bitewings - two radiographic images | 308 | 301 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 40 | 25 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 67 | 59 | $1K |