NPI: 1588688337 · HOOD RIVER, OR 97031 · General Practice Dentistry · NPI assigned 07/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 523 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 157 | 155 | $7K |
| D0120 | Periodic oral evaluation - established patient | 210 | 208 | $6K |
| D0274 | Bitewings - four radiographic images | 70 | 70 | $2K |
| D1206 | Topical application of fluoride varnish | 66 | 66 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 20 | 18 | $234.00 |