NPI: 1770612210 · BENSON, AZ 85602 · Dentist · NPI assigned 03/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 333 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 76 | 76 | $0.00 |
| D1206 | Topical application of fluoride varnish | 120 | 120 | $0.00 |
| D1110 | Prophylaxis - adult | 35 | 35 | $0.00 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $0.00 |
| D1120 | Prophylaxis - child | 88 | 88 | $0.00 |