NPI: 1487847703 · ANTHEM, AZ 85086 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,450 | $120.00 |
| 2019 | 2,485 | $0.00 |
| 2020 | 741 | $0.00 |
| 2021 | 1,179 | $636.36 |
| 2022 | 1,066 | $0.00 |
| 2023 | 1,092 | $0.00 |
| 2024 | 1,547 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,767 | 1,723 | $281.75 | |
| D0120 | 2,235 | 2,176 | $223.16 | |
| D1208 | 2,264 | 2,204 | $192.55 | |
| D0220 | 1,227 | 1,200 | $26.57 | |
| D0272 | 862 | 827 | $17.32 | |
| D1206 | 123 | 123 | $15.01 | |
| D1110 | 200 | 187 | $0.00 | |
| D0274 | 45 | 43 | $0.00 | |
| D0230 | 683 | 632 | $0.00 | |
| D2392 | 38 | 17 | $0.00 | |
| D0603 | 30 | 30 | $0.00 | |
| D0150 | 31 | 30 | $0.00 | |
| D9248 | 14 | 13 | $0.00 | |
| D1351 | 41 | 12 | $0.00 |