NPI: 1831105089 · WILLIAMSBURG, KY 40769 · General Practice Dentistry · NPI assigned 07/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 558 | $13K |
| 2019 | 301 | $7K |
| 2020 | 42 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 310 | 294 | $11K |
| D0272 | Bitewings - two radiographic images | 282 | 268 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 101 | 100 | $2K |
| D0330 | Panoramic radiographic image | 63 | 63 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 115 | 109 | $1K |
| D1120 | Prophylaxis - child | 30 | 26 | $1K |