NPI: 1548264328 · HARROGATE, TN 37752 · General Practice Dentistry · NPI assigned 06/09/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 428 | $11K |
| 2019 | 643 | $13K |
| 2020 | 134 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 357 | 356 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 417 | 415 | $8K |
| D1120 | Prophylaxis - child | 282 | 277 | $6K |
| D1110 | Prophylaxis - adult | 59 | 58 | $3K |
| D0272 | Bitewings - two radiographic images | 52 | 52 | $953.87 |
| D0274 | Bitewings - four radiographic images | 38 | 38 | $756.00 |