NPI: 1679569537 · CHANDLER, OK 74834 · Dentist · NPI assigned 09/26/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $183.17 |
| 2019 | 12 | $243.96 |
| 2020 | 58 | $1K |
| 2021 | 166 | $5K |
| 2022 | 282 | $7K |
| 2023 | 348 | $8K |
| 2024 | 107 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 257 | 257 | $8K |
| D0120 | Periodic oral evaluation - established patient | 329 | 329 | $7K |
| D1110 | Prophylaxis - adult | 78 | 78 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 139 | 139 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 143 | 142 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 26 | 14 | $2K |
| D1120 | Prophylaxis - child | 14 | 14 | $426.86 |