NPI: 1609449644 · JEFFERSON, NC 28640 · Public Health Dentist · NPI assigned 07/19/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 582 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 71 | 56 | $0.00 |
| T1015 | Clinic visit/encounter, all-inclusive | 39 | 36 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 31 | 27 | $0.00 |
| D0603 | 52 | 49 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 27 | 27 | $0.00 |
| D1206 | Topical application of fluoride varnish | 119 | 92 | $0.00 |
| D1330 | 128 | 97 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 74 | 57 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 41 | 25 | $0.00 |