NPI: 1588701189 · ELLICOTT CITY, MD 21042 · General Practice Dentistry · NPI assigned 01/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 245 | $3K |
| 2021 | 436 | $3K |
| 2022 | 455 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 190 | 184 | $4K |
| D0140 | Limited oral evaluation - problem focused | 298 | 275 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 379 | 337 | $2K |
| D0272 | Bitewings - two radiographic images | 127 | 123 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 40 | 37 | $938.00 |
| D1999 | 102 | 78 | $0.00 |