NPI: 1831314574 · GENTRY, AR 72734 · General Practice Dentistry · NPI assigned 04/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 200 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 65 | 60 | $2K |
| D1110 | Prophylaxis - adult | 31 | 31 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 57 | 52 | $1K |
| D0272 | Bitewings - two radiographic images | 35 | 35 | $754.80 |
| D1120 | Prophylaxis - child | 12 | 12 | $433.20 |