NPI: 1558704122 · TAMARAC, FL 33351 · Dentist · NPI assigned 04/12/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 64 | $2K |
| 2021 | 151 | $2K |
| 2022 | 1,736 | $13K |
| 2023 | 1,227 | $9K |
| 2024 | 213 | $10.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 328 | 326 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 88 | 85 | $2K |
| D0120 | Periodic oral evaluation - established patient | 385 | 383 | $757.06 |
| D0274 | Bitewings - four radiographic images | 316 | 311 | $752.43 |
| D0230 | Intraoral - periapical each additional radiographic image | 542 | 528 | $425.62 |
| D0140 | Limited oral evaluation - problem focused | 15 | 12 | $91.83 |
| D1206 | Topical application of fluoride varnish | 550 | 542 | $68.78 |
| D1330 | 570 | 562 | $33.90 | |
| D0220 | Intraoral - periapical first radiographic image | 597 | 578 | $32.04 |