NPI: 1598287161 · LONDON, KY 40741 · Dental Clinic/Center · NPI assigned 07/14/2017
| Authorized Official | YOUNG, JAMIE (ORGANIZER) |
| NPI Enumeration Date | 07/14/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $2K |
| 2019 | 242 | $4K |
| 2020 | 98 | $2K |
| 2021 | 69 | $2K |
| 2022 | 1,395 | $39K |
| 2023 | 4,855 | $175K |
| 2024 | 4,203 | $152K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,666 | 1,651 | $91K |
| D0330 | Panoramic radiographic image | 1,489 | 1,478 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,470 | 2,437 | $73K |
| D1208 | Topical application of fluoride, excluding varnish | 2,260 | 2,236 | $37K |
| D1351 | Sealant - per tooth | 1,635 | 613 | $35K |
| D1110 | Prophylaxis - adult | 500 | 499 | $28K |
| D0120 | Periodic oral evaluation - established patient | 405 | 404 | $10K |
| D0272 | Bitewings - two radiographic images | 495 | 491 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 19 | 18 | $934.18 |
| D0270 | 30 | 30 | $307.30 |