NPI: 1790901015 · MIDDLEBURY, VT 05753 · Pediatric Dentist · NPI assigned 04/17/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,994 | $243K |
| 2019 | 8,348 | $277K |
| 2020 | 2,850 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,911 | 2,807 | $93K | |
| D1206 | 5,016 | 4,448 | $82K | |
| D2392 | 611 | 362 | $76K | |
| D0120 | 2,394 | 2,333 | $57K | |
| D0330 | 804 | 790 | $46K | |
| D9230 | 672 | 571 | $36K | |
| D2930 | 245 | 55 | $35K | |
| D0150 | 949 | 912 | $35K | |
| D0140 | 723 | 694 | $28K | |
| D7140 | 226 | 78 | $20K | |
| D0145 | 497 | 484 | $18K | |
| D0272 | 799 | 768 | $18K | |
| D1110 | 325 | 317 | $15K | |
| D1351 | 552 | 138 | $14K | |
| D0240 | 627 | 420 | $13K | |
| D1330 | 424 | 422 | $9K | |
| D3220 | 81 | 37 | $7K | |
| D0220 | 211 | 199 | $4K | |
| D2391 | 41 | 24 | $3K | |
| D9420 | 12 | 12 | $1K | |
| D0230 | 72 | 27 | $490.00 |