NPI: 1639173503
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,239 | $9K |
| 2019 | 1,157 | $42K |
| 2020 | 231 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4212 | 51 | 43 | $14K | |
| D1110 | Prophylaxis - adult | 396 | 379 | $11K |
| D9920 | 468 | 353 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 493 | 403 | $8K |
| D0120 | Periodic oral evaluation - established patient | 364 | 349 | $5K |
| D0140 | Limited oral evaluation - problem focused | 207 | 199 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 308 | 290 | $4K |
| D2931 | 28 | 25 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 300 | 284 | $2K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 12 | 12 | $2K |