NPI: 1730241936 · NORWALK, IA 50211 · General Practice Dentistry · NPI assigned 12/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 290 | $5K |
| 2019 | 244 | $5K |
| 2020 | 384 | $7K |
| 2021 | 46 | $152.89 |
| 2022 | 95 | $2K |
| 2023 | 118 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 493 | 480 | $9K |
| D1206 | Topical application of fluoride varnish | 335 | 324 | $6K |
| D1120 | Prophylaxis - child | 136 | 131 | $4K |
| D1110 | Prophylaxis - adult | 69 | 65 | $2K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $314.73 |
| D1999 | 132 | 121 | $0.00 |