NPI: 1518185164 · OGDEN, UT 84401 · Public Health Dentist · NPI assigned 04/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 133 | $1K |
| 2019 | 542 | $12K |
| 2020 | 13 | $392.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 50 | 50 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 244 | 232 | $2K |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 36 | 14 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 218 | 155 | $232.75 |
| D0274 | Bitewings - four radiographic images | 100 | 99 | $0.00 |