NPI: 1508877226 · BRENTWOOD, TN 37027 · Dentist · NPI assigned 08/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 94 | $3K |
| 2024 | 58 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 82 | 73 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 27 | $798.46 |
| D0274 | Bitewings - four radiographic images | 14 | 13 | $371.28 |
| D0120 | Periodic oral evaluation - established patient | 14 | 12 | $188.88 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 12 | $166.53 |