NPI: 1780666412 · CANONSBURG, PA 15317 · Pediatric Dentist · NPI assigned 11/17/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 293 | $7K |
| 2019 | 163 | $3K |
| 2020 | 80 | $2K |
| 2021 | 1,397 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 546 | 545 | $12K |
| D1351 | Sealant - per tooth | 384 | 83 | $10K |
| D1120 | Prophylaxis - child | 268 | 268 | $8K |
| D1206 | Topical application of fluoride varnish | 391 | 390 | $7K |
| D1110 | Prophylaxis - adult | 120 | 119 | $4K |
| D0272 | Bitewings - two radiographic images | 131 | 130 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 93 | 93 | $2K |