NPI: 1659382596 · MARENGO, IA 52301 · General Practice Dentistry · NPI assigned 08/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 779 | $14K |
| 2019 | 910 | $17K |
| 2020 | 596 | $11K |
| 2021 | 711 | $12K |
| 2022 | 313 | $6K |
| 2023 | 272 | $6K |
| 2024 | 40 | $730.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,495 | 1,371 | $24K |
| D1110 | Prophylaxis - adult | 523 | 466 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 940 | 842 | $12K |
| D1120 | Prophylaxis - child | 477 | 434 | $12K |
| D0272 | Bitewings - two radiographic images | 147 | 136 | $2K |
| D1206 | Topical application of fluoride varnish | 39 | 33 | $448.80 |