NPI: 1609842061 · JUNCTION CITY, KS 66441 · Dentist · NPI assigned 02/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 309 | $14K |
| 2020 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 54 | 49 | $6K |
| D1206 | Topical application of fluoride varnish | 77 | 69 | $5K |
| D1351 | Sealant - per tooth | 79 | 18 | $3K |
| D1120 | Prophylaxis - child | 25 | 20 | $1K |
| D0120 | Periodic oral evaluation - established patient | 27 | 25 | $365.04 |
| D1354 | 63 | 13 | $0.00 |