NPI: 1528042801 · FLORA, MS 39071 · General Practice Dentistry · NPI assigned 12/01/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 762 | $22K |
| 2019 | 282 | $8K |
| 2020 | 36 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 404 | 389 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 262 | 258 | $10K |
| D1206 | Topical application of fluoride varnish | 285 | 278 | $6K |
| D0140 | Limited oral evaluation - problem focused | 29 | 27 | $1K |
| D0120 | Periodic oral evaluation - established patient | 30 | 29 | $766.89 |
| D0272 | Bitewings - two radiographic images | 39 | 39 | $740.35 |
| D0274 | Bitewings - four radiographic images | 14 | 13 | $389.10 |
| D0220 | Intraoral - periapical first radiographic image | 17 | 15 | $192.38 |