NPI: 1679531412 · HAMMOND, LA 70401 · Pediatric Dentist · NPI assigned 05/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 219 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 63 | 63 | $2K |
| D1120 | Prophylaxis - child | 47 | 47 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 71 | 71 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 16 | 16 | $587.68 |
| D0272 | Bitewings - two radiographic images | 22 | 22 | $450.03 |