NPI: 1538467618 · GEORGETOWN, TX 78628 · General Practice Dentistry · NPI assigned 03/14/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 549 | $40K |
| 2023 | 1,484 | $74K |
| 2024 | 494 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 658 | 637 | $139K |
| D0603 | 368 | 367 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 329 | 327 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 452 | 446 | $0.00 |
| D0274 | Bitewings - four radiographic images | 394 | 390 | $0.00 |
| D1120 | Prophylaxis - child | 202 | 200 | $0.00 |
| D1110 | Prophylaxis - adult | 124 | 124 | $0.00 |