NPI: 1528233459
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,394 | $50K |
| 2019 | 1,352 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,101 | 1,320 | $83K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 166 | 152 | $11K |
| D1206 | Topical application of fluoride varnish | 210 | 205 | $4K |
| 92551 | 160 | 157 | $2K | |
| 99201 | 12 | 12 | $478.32 | |
| 99411 | 20 | 20 | $281.01 | |
| 99173 | 77 | 75 | $153.72 |