NPI: 1750841862 · CAMBRIDGE, MD 21613 · General Practice Dentistry · NPI assigned 03/24/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 378 | $939.95 |
| 2022 | 874 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 236 | 235 | $1K |
| D0140 | Limited oral evaluation - problem focused | 325 | 319 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 32 | 24 | $618.03 |
| D0274 | Bitewings - four radiographic images | 163 | 161 | $396.00 |
| D0220 | Intraoral - periapical first radiographic image | 412 | 403 | $378.00 |
| D0120 | Periodic oral evaluation - established patient | 84 | 83 | $119.08 |