NPI: 1558396119 · AUGUSTA, AR 72006 · Dentist · NPI assigned 07/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 974 | $24K |
| 2019 | 538 | $14K |
| 2020 | 439 | $11K |
| 2021 | 349 | $9K |
| 2022 | 280 | $8K |
| 2023 | 112 | $2K |
| 2024 | 41 | $902.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 932 | 776 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 820 | 676 | $16K |
| D1110 | Prophylaxis - adult | 286 | 246 | $13K |
| D0272 | Bitewings - two radiographic images | 505 | 453 | $12K |
| D1120 | Prophylaxis - child | 95 | 69 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 58 | 28 | $2K |
| D0602 | 37 | 20 | $185.00 |