NPI: 1497756217 · PORTLAND, OR 97209 · Dentist · NPI assigned 08/02/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,947 | $55K |
| 2019 | 2,589 | $38K |
| 2020 | 826 | $7K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,571 | 1,510 | $23K |
| D1110 | Prophylaxis - adult | 528 | 524 | $22K |
| D4355 | 385 | 381 | $19K | |
| D4341 | 213 | 173 | $17K | |
| D4342 | 170 | 124 | $10K | |
| D4910 | 129 | 128 | $8K | |
| D1120 | Prophylaxis - child | 30 | 30 | $1K |
| D1320 | 26 | 26 | $250.00 | |
| D1330 | 1,882 | 1,758 | $0.00 | |
| D1310 | 1,110 | 1,087 | $0.00 | |
| D1351 | Sealant - per tooth | 259 | 82 | $0.00 |
| D0191 | 59 | 59 | $0.00 |