NPI: 1629563903 · BECKLEY, WV 25801 · General Practice Dentistry · NPI assigned 06/28/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 161 | $5K |
| 2020 | 143 | $3K |
| 2021 | 115 | $2K |
| 2022 | 219 | $5K |
| 2023 | 357 | $10K |
| 2024 | 158 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 473 | 397 | $9K |
| D0120 | Periodic oral evaluation - established patient | 378 | 314 | $9K |
| D1120 | Prophylaxis - child | 114 | 96 | $4K |
| D1351 | Sealant - per tooth | 110 | 14 | $3K |
| D1110 | Prophylaxis - adult | 52 | 40 | $2K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $417.30 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 12 | $385.00 |