NPI: 1720145360 · DENVER, NC 28037 · Dentist · NPI assigned 01/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 334 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 155 | 153 | $4K |
| D1110 | Prophylaxis - adult | 99 | 95 | $3K |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $640.50 |
| D1206 | Topical application of fluoride varnish | 42 | 41 | $610.00 |
| D1120 | Prophylaxis - child | 13 | 12 | $284.57 |