NPI: 1811155674 · GRANTS PASS, OR 97526 · Dentist · NPI assigned 05/29/2008
| Authorized Official | SUTTON, RAELYN (PRESIDENT) |
| NPI Enumeration Date | 05/29/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57 | $0.00 |
| 2019 | 835 | $0.00 |
| 2020 | 599 | $0.00 |
| 2021 | 424 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $0.00 |
| D1330 | 568 | 551 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 153 | 150 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 91 | 91 | $0.00 |
| D1310 | 13 | 13 | $0.00 | |
| D0602 | 159 | 158 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 64 | 62 | $0.00 |
| D1206 | Topical application of fluoride varnish | 86 | 86 | $0.00 |
| D1110 | Prophylaxis - adult | 554 | 538 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 185 | 182 | $0.00 |
| D1120 | Prophylaxis - child | 14 | 14 | $0.00 |