NPI: 1730270257 · MORGANTOWN, WV 26505 · General Practice Dentistry · NPI assigned 09/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 116 | $3K |
| 2019 | 29 | $512.23 |
| 2020 | 89 | $858.29 |
| 2021 | 118 | $2K |
| 2022 | 129 | $3K |
| 2023 | 36 | $844.50 |
| 2024 | 14 | $264.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 194 | 157 | $3K |
| D0120 | Periodic oral evaluation - established patient | 163 | 124 | $3K |
| D1120 | Prophylaxis - child | 62 | 51 | $2K |
| D1110 | Prophylaxis - adult | 26 | 16 | $847.00 |
| D0274 | Bitewings - four radiographic images | 21 | 13 | $481.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 12 | $462.00 |
| D1999 | 51 | 29 | $10.00 |