NPI: 1700059482 · DENHAM SPRINGS, LA 70726 · Dentist · NPI assigned 04/02/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 96 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 48 | 48 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 23 | 12 | $2K |
| D1120 | Prophylaxis - child | 12 | 12 | $417.60 |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $210.60 |