NPI: 1780105759 · POULSBO, WA 98370 · Dentist · NPI assigned 06/29/2017
| Authorized Official | BURSELL, LAUREN (CEO) |
| NPI Enumeration Date | 06/29/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,700 | $58K |
| 2019 | 22,956 | $282K |
| 2020 | 7,225 | $79K |
| 2021 | 8,131 | $89K |
| 2022 | 34,151 | $414K |
| 2023 | 37,491 | $578K |
| 2024 | 34,631 | $535K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0191 | 45,652 | 44,253 | $522K | |
| D1206 | Topical application of fluoride varnish | 21,022 | 20,212 | $484K |
| D1351 | Sealant - per tooth | 24,352 | 4,616 | $433K |
| D1330 | 47,500 | 45,902 | $422K | |
| D1120 | Prophylaxis - child | 9,559 | 9,356 | $160K |
| D1354 | 1,228 | 356 | $5K | |
| D0190 | 612 | 443 | $4K | |
| D1999 | 201 | 166 | $1K | |
| D9999 | Unspecified adjunctive procedure, by report | 97 | 48 | $1K |
| D9992 | 62 | 62 | $900.00 |