NPI: 1528352861 · ADDISON, TX 75001 · Dentist · NPI assigned 06/03/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 439 | $1K |
| 2024 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 189 | 45 | $564.02 |
| D1206 | Topical application of fluoride varnish | 77 | 45 | $205.80 |
| D0220 | Intraoral - periapical first radiographic image | 58 | 46 | $169.56 |
| D1120 | Prophylaxis - child | 25 | 14 | $147.04 |
| D0274 | Bitewings - four radiographic images | 21 | 14 | $93.56 |
| D0601 | 83 | 67 | $0.00 |