NPI: 1619062601 · IMBODEN, AR 72434 · General Practice Dentistry · NPI assigned 10/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 845 | $19K |
| 2019 | 361 | $8K |
| 2020 | 421 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 365 | 364 | $9K |
| D0272 | Bitewings - two radiographic images | 335 | 333 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 363 | 361 | $7K |
| D1110 | Prophylaxis - adult | 116 | 116 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 217 | 212 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 169 | 169 | $2K |
| D1120 | Prophylaxis - child | 50 | 50 | $2K |
| D0601 | 12 | 12 | $56.79 |