NPI: 1548396385 · ARCADIA, FL 34266 · Dentist · NPI assigned 02/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 896 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 177 | 177 | $14K |
| D1120 | Prophylaxis - child | 141 | 140 | $2K |
| D1351 | Sealant - per tooth | 49 | 15 | $1K |
| D1206 | Topical application of fluoride varnish | 184 | 183 | $103.46 |
| D1330 | 191 | 190 | $10.70 | |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 75 | 74 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 60 | 49 | $0.00 |