NPI: 1750552998 · KENSINGTON, MD 20895 · General Practice Dentistry · NPI assigned 03/16/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 73 | $2K |
| 2019 | 243 | $6K |
| 2020 | 89 | $2K |
| 2021 | 160 | $4K |
| 2022 | 123 | $3K |
| 2023 | 176 | $5K |
| 2024 | 145 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 521 | 510 | $13K |
| D0120 | Periodic oral evaluation - established patient | 334 | 326 | $10K |
| D1120 | Prophylaxis - child | 78 | 78 | $3K |
| D1110 | Prophylaxis - adult | 28 | 25 | $2K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $264.00 |
| D1330 | 36 | 36 | $216.00 |