NPI: 1578626131 · LIMA, OH 45805 · General Practice Dentistry · NPI assigned 12/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 233 | $7K |
| 2020 | 91 | $3K |
| 2024 | 297 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 123 | 63 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 76 | 33 | $9K |
| D1110 | Prophylaxis - adult | 149 | 141 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 161 | 158 | $6K |
| D0274 | Bitewings - four radiographic images | 98 | 93 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $70.00 |