NPI: 1538334172 · ELDERSBURG, MD 21784 · Dentist · NPI assigned 04/24/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 188 | $6K |
| 2019 | 144 | $5K |
| 2020 | 60 | $2K |
| 2021 | 28 | $814.24 |
| 2022 | 52 | $2K |
| 2023 | 102 | $4K |
| 2024 | 157 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 538 | 535 | $16K |
| D1110 | Prophylaxis - adult | 118 | 118 | $7K |
| D1120 | Prophylaxis - child | 15 | 15 | $635.55 |
| D1208 | Topical application of fluoride, excluding varnish | 20 | 20 | $460.00 |
| D0272 | Bitewings - two radiographic images | 25 | 25 | $375.00 |
| D1206 | Topical application of fluoride varnish | 15 | 15 | $373.80 |