NPI: 1568426336
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 797 | $526K |
| 2020 | 297 | $238K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9420 | 409 | 383 | $421K | |
| 41899 | Unlisted procedure, dentoalveolar structures | 409 | 330 | $343K |
| D0220 | Intraoral - periapical first radiographic image | 41 | 32 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 62 | 52 | $0.00 |
| D7250 | 50 | 32 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 40 | 32 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 45 | 36 | $0.00 |
| D2330 | 38 | 28 | $0.00 |