NPI: 1750126892 · FORT WASHINGTON, MD 20744 · Dentist · NPI assigned 06/29/2024
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 133 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21 | 21 | $1K |
| D0120 | Periodic oral evaluation - established patient | 23 | 23 | $592.52 |
| D1208 | Topical application of fluoride, excluding varnish | 24 | 24 | $558.35 |
| D0274 | Bitewings - four radiographic images | 17 | 17 | $532.42 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 25 | $351.85 |
| D0230 | Intraoral - periapical each additional radiographic image | 22 | 20 | $223.87 |