NPI: 1588158372 · HAVERTOWN, PA 19083 · Dentist · NPI assigned 06/15/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 402 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 84 | 84 | $2K |
| D0120 | Periodic oral evaluation - established patient | 93 | 93 | $2K |
| D1310 | 99 | 99 | $1K | |
| D1330 | 68 | 68 | $726.44 | |
| D1208 | Topical application of fluoride, excluding varnish | 31 | 31 | $561.40 |
| D1206 | Topical application of fluoride varnish | 15 | 15 | $299.25 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $160.00 |