NPI: 1659520955 · AUSTIN, IN 47102 · Dentist · NPI assigned 09/11/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 104 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32 | 32 | $1K |
| D0330 | Panoramic radiographic image | 13 | 13 | $544.23 |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $540.00 |
| D0274 | Bitewings - four radiographic images | 16 | 16 | $480.15 |
| D0220 | Intraoral - periapical first radiographic image | 30 | 29 | $318.00 |