NPI: 1538606785 · VERNAL, UT 84078 · Dentist · NPI assigned 01/26/2017
| Authorized Official | BLACKHAM, CRAIG (OWNER) |
| NPI Enumeration Date | 01/26/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 290 | $6K |
| 2022 | 1,806 | $54K |
| 2023 | 628 | $16K |
| 2024 | 432 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 608 | 370 | $17K |
| D0140 | Limited oral evaluation - problem focused | 422 | 400 | $16K |
| D0120 | Periodic oral evaluation - established patient | 306 | 301 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 839 | 795 | $13K |
| D1206 | Topical application of fluoride varnish | 318 | 314 | $11K |
| D1110 | Prophylaxis - adult | 176 | 170 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 74 | 71 | $3K |
| D0274 | Bitewings - four radiographic images | 195 | 191 | $3K |
| D1120 | Prophylaxis - child | 218 | 216 | $2K |