NPI: 1548357411 · MUSKEGON, MI 49442 · Dentist · NPI assigned 10/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 867 | $21K |
| 2019 | 675 | $17K |
| 2020 | 69 | $2K |
| 2021 | 155 | $4K |
| 2022 | 259 | $6K |
| 2023 | 278 | $7K |
| 2024 | 178 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,127 | 1,123 | $26K |
| D1120 | Prophylaxis - child | 434 | 434 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 406 | 405 | $8K |
| D1110 | Prophylaxis - adult | 179 | 178 | $7K |
| D1206 | Topical application of fluoride varnish | 225 | 225 | $5K |
| D0272 | Bitewings - two radiographic images | 98 | 98 | $2K |
| D0330 | Panoramic radiographic image | 12 | 12 | $657.00 |