NPI: 1487644191 · BOLIVIA, NC 28422 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,623 | $59K |
| 2020 | 2,315 | $82K |
| 2021 | 2,479 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 843 | 843 | $36K | |
| D2392 | 373 | 249 | $33K | |
| D0210 | 497 | 497 | $28K | |
| D0120 | 906 | 905 | $26K | |
| D0274 | 744 | 744 | $18K | |
| D0150 | 639 | 639 | $18K | |
| D4341 | 227 | 90 | $15K | |
| D4910 | 212 | 212 | $11K | |
| D0230 | 850 | 846 | $10K | |
| D0140 | 244 | 244 | $8K | |
| D1208 | 318 | 318 | $6K | |
| D2391 | 61 | 50 | $4K | |
| D0220 | 305 | 305 | $4K | |
| D1120 | 90 | 90 | $3K | |
| D1351 | 72 | 17 | $3K | |
| D0272 | 36 | 36 | $684.00 |