NPI: 1508901406 · BOLIVAR, MO 65613 · Dentist · NPI assigned 02/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,095 | $400K |
| 2019 | 11,732 | $187K |
| 2020 | 969 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | 1,310 | 659 | $98K | |
| D2392 | 1,401 | 766 | $93K | |
| D0120 | 2,845 | 2,714 | $63K | |
| D1120 | 2,222 | 2,121 | $42K | |
| D1206 | 3,343 | 3,199 | $41K | |
| D1110 | 1,371 | 1,323 | $33K | |
| D0220 | 3,867 | 3,681 | $33K | |
| D0274 | 1,302 | 1,252 | $27K | |
| D0150 | 728 | 714 | $26K | |
| D0330 | 938 | 913 | $25K | |
| D0230 | 3,547 | 2,933 | $24K | |
| D0350 | 1,541 | 1,419 | $24K | |
| D2394 | 244 | 141 | $23K | |
| D0140 | 788 | 742 | $18K | |
| D2391 | 261 | 171 | $13K | |
| D7210 | 163 | 53 | $11K | |
| D0272 | 841 | 807 | $11K | |
| D1351 | 513 | 133 | $11K | |
| D0210 | 323 | 290 | $4K | |
| D7140 | 77 | 43 | $3K | |
| D0250 | 98 | 89 | $2K | |
| D3220 | 15 | 12 | $950.00 | |
| D2332 | 25 | 12 | $397.00 | |
| D9996 | 33 | 33 | $243.00 |