NPI: 1730250036 · WARREN, AR 71671 · General Practice Dentistry · NPI assigned 11/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 805 | $250.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2331 | 312 | 171 | $220.00 | |
| D1120 | Prophylaxis - child | 35 | 33 | $30.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 255 | 143 | $0.00 |
| D1110 | Prophylaxis - adult | 73 | 70 | $0.00 |
| D2140 | 59 | 57 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 24 | 12 | $0.00 |
| D2330 | 47 | 45 | $0.00 |