NPI: 1619394996 · NEW BRIGHTON, PA 15066 · Pediatric Dentist · NPI assigned 03/25/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $873.44 |
| 2019 | 103 | $3K |
| 2020 | 149 | $3K |
| 2021 | 1,058 | $23K |
| 2024 | 855 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 436 | 428 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 650 | 634 | $11K |
| D0120 | Periodic oral evaluation - established patient | 532 | 523 | $11K |
| D1110 | Prophylaxis - adult | 83 | 83 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 96 | 96 | $2K |
| D1310 | 206 | 205 | $2K | |
| D1330 | 205 | 204 | $0.00 |