NPI: 1780025353 · CHINOOK, MT 59523 · Dentist · NPI assigned 07/11/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 182 | $6K |
| 2019 | 221 | $8K |
| 2020 | 220 | $7K |
| 2021 | 251 | $9K |
| 2022 | 210 | $7K |
| 2023 | 72 | $2K |
| 2024 | 31 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 403 | 375 | $13K |
| D0120 | Periodic oral evaluation - established patient | 457 | 436 | $12K |
| D1110 | Prophylaxis - adult | 234 | 217 | $11K |
| D1120 | Prophylaxis - child | 67 | 62 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $549.45 |
| D0140 | Limited oral evaluation - problem focused | 13 | 12 | $374.99 |