NPI: 1801101696 · MACON, MS 39341 · Dentist · NPI assigned 08/17/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 579 | $45K |
| 2020 | 21 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 385 | 198 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 64 | 42 | $5K |
| D0140 | Limited oral evaluation - problem focused | 92 | 81 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 26 | 16 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 19 | 15 | $179.12 |