NPI: 1548307192 · SILVERTON, OR 97381 · General Practice Dentistry · NPI assigned 01/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 282 | $14K |
| 2019 | 15 | $392.00 |
| 2021 | 25 | $900.00 |
| 2022 | 13 | $456.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 98 | 29 | $5K |
| D4341 | 56 | 26 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 78 | 77 | $3K |
| D0120 | Periodic oral evaluation - established patient | 65 | 65 | $2K |
| D1110 | Prophylaxis - adult | 25 | 25 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 13 | 13 | $696.00 |