NPI: 1548600695 · TIGARD, OR 97224 · General Practice Dentistry · NPI assigned 07/02/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 161 | $3K |
| 2024 | 244 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3320 | 14 | 14 | $11K | |
| D0140 | Limited oral evaluation - problem focused | 79 | 73 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 96 | 89 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 140 | 82 | $2K |
| D1110 | Prophylaxis - adult | 14 | 14 | $611.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $608.00 |
| D1206 | Topical application of fluoride varnish | 22 | 22 | $418.00 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $336.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $319.00 |