NPI: 1598835357 · DOVER, AR 72837 · General Practice Dentistry · NPI assigned 11/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 715 | $21K |
| 2019 | 446 | $10K |
| 2020 | 24 | $558.60 |
| 2022 | 14 | $372.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 351 | 296 | $9K |
| D1110 | Prophylaxis - adult | 148 | 123 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 69 | 28 | $6K |
| D0272 | Bitewings - two radiographic images | 186 | 160 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 237 | 176 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 140 | 88 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 68 | 55 | $1K |