NPI: 1609980036 · LAURENS, SC 29360 · Dentist · NPI assigned 08/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 879 | $21K |
| 2019 | 664 | $15K |
| 2020 | 407 | $10K |
| 2021 | 289 | $7K |
| 2022 | 163 | $4K |
| 2023 | 98 | $2K |
| 2024 | 12 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 916 | 916 | $21K |
| D1110 | Prophylaxis - adult | 259 | 259 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 665 | 665 | $11K |
| D0272 | Bitewings - two radiographic images | 473 | 473 | $9K |
| D1120 | Prophylaxis - child | 199 | 199 | $7K |