NPI: 1629197843 · MARION, IA 52302 · General Practice Dentistry · NPI assigned 03/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 698 | $15K |
| 2019 | 621 | $13K |
| 2020 | 571 | $13K |
| 2021 | 695 | $14K |
| 2022 | 826 | $12K |
| 2024 | 13 | $178.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,331 | 1,155 | $21K |
| D1110 | Prophylaxis - adult | 599 | 575 | $20K |
| D1206 | Topical application of fluoride varnish | 1,110 | 1,067 | $17K |
| D0274 | Bitewings - four radiographic images | 299 | 288 | $7K |
| D1120 | Prophylaxis - child | 66 | 66 | $2K |
| D1999 | 19 | 19 | $0.00 |