NPI: 1669423984 · BLOOMINGTON, IN 47403 · Dentist · NPI assigned 05/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $0.00 |
| 2019 | 440 | $8K |
| 2020 | 134 | $3K |
| 2021 | 306 | $9K |
| 2022 | 414 | $18K |
| 2023 | 322 | $13K |
| 2024 | 55 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 322 | 234 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 400 | 304 | $11K |
| D0274 | Bitewings - four radiographic images | 404 | 301 | $10K |
| D7250 | 97 | 12 | $9K | |
| D1110 | Prophylaxis - adult | 199 | 125 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 95 | 85 | $3K |
| D0120 | Periodic oral evaluation - established patient | 168 | 127 | $3K |