NPI: 1568586667 · BRANDON, VT 05733 · General Practice Dentistry · NPI assigned 03/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 647 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 175 | 170 | $8K |
| D0120 | Periodic oral evaluation - established patient | 181 | 176 | $4K |
| D1120 | Prophylaxis - child | 118 | 116 | $4K |
| D1206 | Topical application of fluoride varnish | 161 | 157 | $3K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $351.00 |