NPI: 1790752020 · OMRO, WI 54963 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,080 | $161K |
| 2019 | 919 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | 1,023 | 219 | $88K | |
| D0210 | 405 | 403 | $17K | |
| D4355 | 231 | 229 | $16K | |
| D1110 | 423 | 417 | $11K | |
| D0140 | 576 | 552 | $11K | |
| D0150 | 404 | 400 | $8K | |
| D1208 | 590 | 584 | $7K | |
| D0274 | 364 | 362 | $6K | |
| D5110 | 12 | 12 | $5K | |
| D0120 | 306 | 304 | $4K | |
| D2161 | 55 | 27 | $3K | |
| D1120 | 126 | 126 | $3K | |
| D7140 | 65 | 15 | $3K | |
| D0220 | 282 | 277 | $2K | |
| D2160 | 37 | 16 | $2K | |
| D2394 | 25 | 12 | $2K | |
| D2335 | 26 | 12 | $2K | |
| D0160 | 12 | 12 | $538.12 | |
| D0230 | 37 | 25 | $204.23 |