NPI: 1831711910 · VILONIA, AR 72173 · Dentist · NPI assigned 05/12/2020
| Authorized Official | LANE, BRIAN (PRESIDENT) |
| NPI Enumeration Date | 05/12/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 534 | $11K |
| 2022 | 672 | $14K |
| 2023 | 1,075 | $23K |
| 2024 | 584 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 589 | 548 | $13K |
| D0272 | Bitewings - two radiographic images | 427 | 410 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 504 | 482 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 581 | 557 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 477 | 457 | $6K |
| D1120 | Prophylaxis - child | 188 | 179 | $6K |
| D1110 | Prophylaxis - adult | 99 | 98 | $4K |