NPI: 1740754753 · MORGAN HILL, CA 95037 · Dentist · NPI assigned 01/14/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 669 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 134 | 133 | $4K |
| D0120 | Periodic oral evaluation - established patient | 135 | 134 | $3K |
| D1206 | Topical application of fluoride varnish | 155 | 153 | $3K |
| D0272 | Bitewings - two radiographic images | 40 | 38 | $630.39 |
| D1110 | Prophylaxis - adult | 18 | 18 | $615.20 |
| D0220 | Intraoral - periapical first radiographic image | 34 | 32 | $406.24 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 12 | $351.00 |
| D1330 | 140 | 138 | $0.00 |