NPI: 1629105077 · PINEVILLE, KY 40977 · Dentist · NPI assigned 02/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,824 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 342 | 329 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 301 | 294 | $7K |
| D0330 | Panoramic radiographic image | 198 | 191 | $7K |
| D0274 | Bitewings - four radiographic images | 220 | 218 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 386 | 370 | $5K |
| D1351 | Sealant - per tooth | 280 | 89 | $4K |
| D1110 | Prophylaxis - adult | 42 | 42 | $2K |
| D0272 | Bitewings - two radiographic images | 27 | 27 | $447.72 |
| D0220 | Intraoral - periapical first radiographic image | 28 | 27 | $254.85 |