NPI: 1750737102 · GREENSBORO, NC 27410 · General Practice Dentistry · NPI assigned 05/04/2016
Authorized official DUFFY, ALICIA controls 20+ related entities in our dataset. Read more
| Authorized Official | DUFFY, ALICIA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 05/04/2016 |
Other providers sharing the same authorized official: DUFFY, ALICIA
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 105 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 29 | $1K |
| D1110 | Prophylaxis - adult | 15 | 15 | $557.62 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $469.70 |
| D1206 | Topical application of fluoride varnish | 31 | 27 | $419.50 |
| D1120 | Prophylaxis - child | 14 | 13 | $369.98 |