NPI: 1730268814 · MISHAWAKA, IN 46545 · Dentist · NPI assigned 11/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 684 | $65K |
| 2024 | 722 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D5130 | 64 | 56 | $28K | |
| D0330 | Panoramic radiographic image | 464 | 432 | $22K |
| D5110 | 81 | 78 | $22K | |
| D5140 | 48 | 43 | $18K | |
| D7140 | Extraction, erupted tooth or exposed root | 190 | 15 | $13K |
| D0140 | Limited oral evaluation - problem focused | 344 | 320 | $6K |
| D5750 | 47 | 44 | $6K | |
| D5120 | 12 | 12 | $4K | |
| D5212 | 14 | 12 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 92 | 85 | $1K |
| D0120 | Periodic oral evaluation - established patient | 50 | 46 | $794.72 |