NPI: 1780177733 · CLOVIS, CA 93612 · Dentist · NPI assigned 06/13/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 195 | $4K |
| 2019 | 1,005 | $18K |
| 2020 | 274 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 354 | 348 | $7K |
| D0120 | Periodic oral evaluation - established patient | 387 | 381 | $7K |
| D1206 | Topical application of fluoride varnish | 276 | 275 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 139 | 137 | $4K |
| D0274 | Bitewings - four radiographic images | 95 | 95 | $2K |
| D1110 | Prophylaxis - adult | 49 | 49 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 91 | 91 | $472.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 64 | 64 | $336.00 |
| D0272 | Bitewings - two radiographic images | 19 | 19 | $199.50 |