NPI: 1508056755 · SEGUIN, TX 78155 · Pediatric Dentist · NPI assigned 07/25/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 795 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 108 | 106 | $661.50 |
| D0120 | Periodic oral evaluation - established patient | 113 | 112 | $605.85 |
| D1208 | Topical application of fluoride, excluding varnish | 125 | 123 | $338.10 |
| D0350 | 113 | 108 | $18.38 | |
| D0145 | Oral evaluation for a patient under three years of age | 16 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 35 | 33 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 87 | 30 | $0.00 |
| D0272 | Bitewings - two radiographic images | 42 | 42 | $0.00 |
| D0603 | 156 | 153 | $0.00 |