NPI: 1568553105 · COLORADO SPRINGS, CO 80924 · Dentist · NPI assigned 09/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,102 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9410 | 371 | 365 | $35K | |
| D0350 | 180 | 180 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | 95 | 91 | $5K |
| D1110 | Prophylaxis - adult | 109 | 109 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 82 | 82 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 46 | 46 | $2K |
| D5730 | 13 | 13 | $2K | |
| D9310 | 52 | 52 | $2K | |
| D0120 | Periodic oral evaluation - established patient | 37 | 37 | $801.42 |
| D0220 | Intraoral - periapical first radiographic image | 57 | 56 | $669.76 |
| D1208 | Topical application of fluoride, excluding varnish | 48 | 48 | $533.48 |
| D0170 | 12 | 12 | $360.72 |