NPI: 1760113328 · OMAHA, NE 68114 · Dentist · NPI assigned 06/23/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 230 | $7K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 21 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 58 | 56 | $2K |
| D1206 | Topical application of fluoride varnish | 58 | 57 | $2K |
| D1120 | Prophylaxis - child | 46 | 44 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 17 | 12 | $605.92 |
| D0272 | Bitewings - two radiographic images | 14 | 12 | $211.20 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 14 | $105.43 |