NPI: 1609427947 · INDIAN HARBOUR BEACH, FL 32937 · General Practice Dentistry · NPI assigned 09/27/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 97 | $0.00 |
| 2022 | 25 | $283.89 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $283.89 |
| D1120 | Prophylaxis - child | 20 | 20 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 14 | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19 | 19 | $0.00 |
| D1206 | Topical application of fluoride varnish | 24 | 24 | $0.00 |
| D0603 | 20 | 20 | $0.00 |