NPI: 1609876572 · CLARKSVILLE, TN 37040 · General Practice Dentistry · NPI assigned 07/21/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $307.50 |
| 2019 | 92 | $2K |
| 2020 | 102 | $2K |
| 2021 | 536 | $14K |
| 2022 | 847 | $25K |
| 2023 | 582 | $16K |
| 2024 | 167 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 692 | 669 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 727 | 709 | $15K |
| D0120 | Periodic oral evaluation - established patient | 477 | 472 | $11K |
| D0274 | Bitewings - four radiographic images | 279 | 273 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 55 | 25 | $3K |
| D0330 | Panoramic radiographic image | 47 | 46 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 46 | 44 | $1K |
| D1999 | 18 | 17 | $0.00 |