NPI: 1740890136 · MILLINGTON, TN 38053 · General Practice Dentistry · NPI assigned 07/31/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 129 | $3K |
| 2022 | 160 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47 | 47 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 56 | 56 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 87 | 82 | $2K |
| D0274 | Bitewings - four radiographic images | 30 | 30 | $763.56 |
| D0330 | Panoramic radiographic image | 27 | 27 | $606.38 |
| D1120 | Prophylaxis - child | 12 | 12 | $438.81 |
| D0120 | Periodic oral evaluation - established patient | 18 | 14 | $341.60 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $148.24 |