NPI: 1689868242 · NAPA, CA 94558 · General Practice Dentistry · NPI assigned 08/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 220 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 32 | 32 | $831.35 |
| D1110 | Prophylaxis - adult | 27 | 27 | $471.72 |
| D0120 | Periodic oral evaluation - established patient | 29 | 29 | $323.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 21 | 21 | $277.70 |
| D0274 | Bitewings - four radiographic images | 33 | 33 | $253.77 |
| D0220 | Intraoral - periapical first radiographic image | 42 | 41 | $143.84 |
| D0330 | Panoramic radiographic image | 15 | 15 | $124.04 |
| D1208 | Topical application of fluoride, excluding varnish | 21 | 21 | $79.90 |