NPI: 1801993530 · LAUREL, MD 20707 · General Practice Dentistry · NPI assigned 09/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 717 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 209 | 209 | $20K |
| D1120 | Prophylaxis - child | 51 | 51 | $2K |
| D1351 | Sealant - per tooth | 48 | 18 | $2K |
| D0120 | Periodic oral evaluation - established patient | 69 | 69 | $2K |
| D1353 | 59 | 19 | $1K | |
| D1110 | Prophylaxis - adult | 18 | 18 | $991.80 |
| D1208 | Topical application of fluoride, excluding varnish | 56 | 56 | $744.80 |
| D0272 | Bitewings - two radiographic images | 39 | 39 | $629.85 |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $523.45 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 16 | $172.90 |
| D0602 | 24 | 24 | $0.00 | |
| D1330 | 70 | 70 | $0.00 | |
| D0603 | 39 | 39 | $0.00 |