NPI: 1790184828 · BUTTE, MT 59701 · Dentist · NPI assigned 08/14/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 599 | $31K |
| 2019 | 479 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 55 | 54 | $25K |
| D9310 | 246 | 231 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | 284 | 269 | $4K |
| D0270 | 175 | 159 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | 318 | 235 | $2K |