NPI: 1679207989 · RICHMOND, KY 40475 · Dentist · NPI assigned 07/12/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 528 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36 | 36 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 67 | 67 | $3K |
| D1120 | Prophylaxis - child | 28 | 28 | $2K |
| D1206 | Topical application of fluoride varnish | 85 | 85 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 134 | 74 | $2K |
| D0274 | Bitewings - four radiographic images | 33 | 33 | $1K |
| D1351 | Sealant - per tooth | 48 | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 74 | 74 | $1K |
| D0272 | Bitewings - two radiographic images | 23 | 23 | $625.68 |