NPI: 1659469682 · MADISON, TN 37115 · Dentist · NPI assigned 10/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 286 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 96 | 91 | $3K |
| D0330 | Panoramic radiographic image | 67 | 63 | $2K |
| D1206 | Topical application of fluoride varnish | 60 | 60 | $1K |
| D0274 | Bitewings - four radiographic images | 51 | 51 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $547.56 |