NPI: 1669555611 · FAIRFIELD, IA 52556 · General Practice Dentistry · NPI assigned 10/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 566 | $16K |
| 2019 | 821 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 647 | 635 | $23K |
| D0120 | Periodic oral evaluation - established patient | 289 | 274 | $5K |
| D0274 | Bitewings - four radiographic images | 169 | 165 | $4K |
| D1206 | Topical application of fluoride varnish | 163 | 158 | $2K |
| D1120 | Prophylaxis - child | 71 | 68 | $2K |
| D0272 | Bitewings - two radiographic images | 30 | 29 | $512.51 |
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 16 | $343.28 |