NPI: 1528232410 · GAS CITY, IN 46933 · Dental Clinic/Center · NPI assigned 04/22/2008
| Authorized Official | CATEY-WILLIAMS, MARA (OWNER) |
| NPI Enumeration Date | 04/22/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 282 | $1K |
| 2019 | 367 | $10K |
| 2020 | 515 | $10K |
| 2021 | 358 | $11K |
| 2022 | 178 | $5K |
| 2023 | 158 | $4K |
| 2024 | 29 | $529.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,083 | 969 | $17K |
| D1110 | Prophylaxis - adult | 373 | 338 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 79 | 43 | $4K |
| D0274 | Bitewings - four radiographic images | 140 | 127 | $3K |
| D1120 | Prophylaxis - child | 96 | 88 | $2K |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $307.54 |
| D1999 | 102 | 78 | $0.00 |