NPI: 1528377546 · BEAVERTON, OR 97008 · General Practice Dentistry · NPI assigned 09/27/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 453 | $356.00 |
| 2020 | 444 | $958.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 282 | 279 | $362.00 |
| D1206 | Topical application of fluoride varnish | 172 | 172 | $247.00 |
| D1110 | Prophylaxis - adult | 94 | 94 | $235.00 |
| D0274 | Bitewings - four radiographic images | 83 | 83 | $203.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 143 | 110 | $135.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $76.00 |
| D0120 | Periodic oral evaluation - established patient | 71 | 71 | $56.00 |
| D1330 | 13 | 13 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 15 | 15 | $0.00 |