NPI: 1780850677
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,475 | $74K |
| 2019 | 1,710 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,828 | 1,293 | $72K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 638 | 538 | $38K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 787 | 216 | $14K |
| D1206 | Topical application of fluoride varnish | 478 | 446 | $8K |
| 92551 | 285 | 282 | $3K | |
| 99411 | 36 | 36 | $517.65 | |
| 99173 | 133 | 133 | $292.32 |