NPI: 1811181704 · ARROYO GRANDE, CA 93420 · Dental Hygienist · NPI assigned 09/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,313 | $61K |
| 2019 | 1,484 | $81K |
| 2020 | 355 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9920 | 603 | 600 | $61K | |
| D1110 | Prophylaxis - adult | 486 | 485 | $38K |
| D4355 | 268 | 268 | $25K | |
| D9410 | 903 | 899 | $24K | |
| D1206 | Topical application of fluoride varnish | 603 | 600 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 275 | 274 | $2K |
| D1120 | Prophylaxis - child | 14 | 14 | $420.00 |