NPI: 1609003060 · ELLISVILLE, MO 63021 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,506 | $67K |
| 2020 | 2,852 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 579 | 579 | $24K | |
| D0120 | 715 | 715 | $22K | |
| D2392 | 292 | 162 | $19K | |
| D1351 | 280 | 114 | $10K | |
| D1110 | 181 | 181 | $10K | |
| D1208 | 511 | 511 | $7K | |
| D0272 | 430 | 430 | $7K | |
| D1353 | 333 | 115 | $6K | |
| D0274 | 215 | 215 | $6K | |
| D1206 | 203 | 203 | $5K | |
| D0220 | 363 | 357 | $5K | |
| D7140 | 82 | 53 | $5K | |
| D2930 | 34 | 21 | $4K | |
| D2391 | 68 | 47 | $3K | |
| D2393 | 15 | 12 | $1K | |
| D0150 | 25 | 25 | $677.75 | |
| D0230 | 32 | 32 | $307.85 | |
| D0603 | 356 | 356 | $21.25 | |
| D1330 | 514 | 514 | $13.00 | |
| D0602 | 40 | 40 | $0.00 | |
| D0601 | 90 | 90 | $0.00 |