NPI: 1740544303 · LAKEPORT, CA 95453 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,526 | $280K |
| 2019 | 7,406 | $228K |
| 2020 | 1,580 | $31K |
| 2021 | 1,348 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,678 | 2,677 | $106K | |
| D2392 | 1,072 | 644 | $69K | |
| D0120 | 2,402 | 2,401 | $64K | |
| D1351 | 1,369 | 459 | $55K | |
| D0274 | 1,481 | 1,481 | $39K | |
| D0220 | 2,721 | 2,705 | $35K | |
| D1206 | 1,198 | 1,197 | $32K | |
| D2930 | 265 | 188 | $28K | |
| D2391 | 549 | 363 | $26K | |
| D1208 | 1,903 | 1,903 | $24K | |
| D1110 | 422 | 422 | $22K | |
| D3220 | 264 | 188 | $21K | |
| D0150 | 420 | 420 | $11K | |
| D0272 | 738 | 737 | $11K | |
| D0330 | 427 | 426 | $7K | |
| D0145 | 224 | 224 | $6K | |
| D0230 | 550 | 549 | $4K | |
| D2393 | 14 | 12 | $1K | |
| D7140 | 13 | 12 | $729.00 | |
| D0140 | 31 | 31 | $399.00 | |
| D1999 | 45 | 41 | $0.00 | |
| D1330 | 50 | 50 | $0.00 | |
| D0603 | 24 | 24 | $0.00 |