NPI: 1750908075 · TUBA CITY, AZ 86045 · Dentist · NPI assigned 07/02/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $404.67 |
| 2023 | 363 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 88 | 88 | $404.67 |
| D0140 | Limited oral evaluation - problem focused | 34 | 33 | $0.00 |
| D9310 | 40 | 39 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 57 | 57 | $0.00 |
| D1330 | 35 | 35 | $0.00 | |
| D1110 | Prophylaxis - adult | 60 | 60 | $0.00 |
| D0330 | Panoramic radiographic image | 63 | 63 | $0.00 |