NPI: 1760534325 · LINCOLN, ME 04457 · Dentist · NPI assigned 01/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 570 | $27K |
| 2019 | 38 | $2K |
| 2020 | 103 | $3K |
| 2021 | 25 | $504.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8692 | 157 | 87 | $17K | |
| D0330 | Panoramic radiographic image | 144 | 143 | $6K |
| D9450 | 43 | 43 | $5K | |
| D1330 | 283 | 278 | $3K | |
| D0470 | 15 | 15 | $480.00 | |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $360.00 |
| D8660 | 15 | 15 | $337.50 | |
| D1206 | Topical application of fluoride varnish | 24 | 24 | $288.00 |
| D1999 | 42 | 42 | $0.00 |