NPI: 1700947660 · DADE CITY, FL 33525 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,637 | $41K |
| 2022 | 420 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 271 | 271 | $19K | |
| D1110 | 161 | 161 | $15K | |
| D0150 | 79 | 79 | $5K | |
| D0330 | 38 | 38 | $5K | |
| D0140 | 41 | 38 | $710.61 | |
| D0274 | 134 | 134 | $162.00 | |
| D1351 | 378 | 121 | $151.60 | |
| D0120 | 342 | 342 | $71.34 | |
| D0240 | 131 | 67 | $49.05 | |
| D0220 | 154 | 148 | $38.67 | |
| D1206 | 421 | 421 | $16.35 | |
| D9230 | 14 | 12 | $0.00 | |
| D0601 | 117 | 117 | $0.00 | |
| D0230 | 120 | 97 | $0.00 | |
| D1330 | 434 | 434 | $0.00 | |
| D0272 | 208 | 208 | $0.00 | |
| D0603 | 14 | 14 | $0.00 |