NPI: 1841371929 · GARDENDALE, AL 35071 · General Practice Dentistry · NPI assigned 10/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $150.00 |
| 2019 | 73 | $1K |
| 2020 | 15 | $150.00 |
| 2022 | 41 | $864.80 |
| 2023 | 27 | $296.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $734.80 |
| D1206 | Topical application of fluoride varnish | 44 | 40 | $576.10 |
| D1208 | Topical application of fluoride, excluding varnish | 45 | 39 | $525.00 |
| D1120 | Prophylaxis - child | 13 | 12 | $336.00 |
| D1110 | Prophylaxis - adult | 14 | 12 | $315.00 |
| D0274 | Bitewings - four radiographic images | 14 | 12 | $144.00 |