NPI: 1598801268 · FORREST CITY, AR 72335 · General Practice Dentistry · NPI assigned 01/30/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,316 | $37K |
| 2019 | 596 | $16K |
| 2020 | 328 | $9K |
| 2022 | 50 | $1K |
| 2023 | 12 | $319.20 |
| 2024 | 13 | $345.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 773 | 681 | $20K |
| D1110 | Prophylaxis - adult | 295 | 253 | $14K |
| D0272 | Bitewings - two radiographic images | 460 | 390 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 547 | 472 | $11K |
| D1120 | Prophylaxis - child | 90 | 77 | $3K |
| D0140 | Limited oral evaluation - problem focused | 101 | 88 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 31 | 27 | $559.50 |
| D0190 | 18 | 18 | $103.74 |