NPI: 1811083249 · FORT WAYNE, IN 46809 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12,218 | $315K |
| 2021 | 10,653 | $380K |
| 2022 | 50 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,413 | 463 | $183K | |
| D1351 | 2,926 | 767 | $76K | |
| D1120 | 1,671 | 1,638 | $51K | |
| D1208 | 2,443 | 2,394 | $48K | |
| D3220 | 484 | 170 | $41K | |
| D0120 | 2,032 | 1,994 | $40K | |
| D1110 | 883 | 865 | $37K | |
| D0272 | 1,576 | 1,536 | $34K | |
| D7111 | 497 | 258 | $30K | |
| D9230 | 1,149 | 1,062 | $30K | |
| D0274 | 776 | 759 | $24K | |
| D0150 | 534 | 521 | $17K | |
| D0210 | 516 | 509 | $17K | |
| D2391 | 319 | 205 | $14K | |
| D2150 | 172 | 102 | $12K | |
| D0220 | 1,254 | 1,212 | $11K | |
| D0230 | 1,159 | 1,115 | $10K | |
| D7140 | 110 | 81 | $7K | |
| D9920 | 239 | 195 | $6K | |
| D0140 | 319 | 301 | $4K | |
| D2392 | 54 | 39 | $3K | |
| D0330 | 58 | 54 | $212.92 | |
| D1999 | 2,337 | 2,012 | $0.00 |