NPI: 1619024460 · POTTSTOWN, PA 19465 · Dentist · NPI assigned 01/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 932 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 153 | 153 | $5K |
| D0330 | Panoramic radiographic image | 87 | 86 | $3K |
| D0274 | Bitewings - four radiographic images | 94 | 93 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 111 | 111 | $2K |
| D0120 | Periodic oral evaluation - established patient | 97 | 97 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 209 | 207 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 124 | 100 | $801.75 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $506.59 |
| D1330 | 45 | 45 | $60.00 |