NPI: 1588921464 · REISTERSTOWN, MD 21136 · General Practice Dentistry · NPI assigned 04/18/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 212 | $6K |
| 2019 | 287 | $9K |
| 2020 | 171 | $5K |
| 2021 | 197 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 441 | 438 | $11K |
| D1120 | Prophylaxis - child | 164 | 162 | $7K |
| D0120 | Periodic oral evaluation - established patient | 209 | 208 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $697.80 |
| D0274 | Bitewings - four radiographic images | 14 | 12 | $308.00 |