NPI: 1811406465 · ORANGE, MA 01364 · Dentist · NPI assigned 09/27/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,011 | $33K |
| 2020 | 233 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 502 | 485 | $17K |
| D1120 | Prophylaxis - child | 337 | 329 | $14K |
| D0120 | Periodic oral evaluation - established patient | 218 | 213 | $4K |
| D0274 | Bitewings - four radiographic images | 110 | 110 | $3K |
| D1110 | Prophylaxis - adult | 39 | 39 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 38 | 38 | $1K |