NPI: 1841383627 · POWHATAN, VA 23139 · General Practice Dentistry · NPI assigned 10/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $660.66 |
| 2020 | 209 | $7K |
| 2021 | 203 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 242 | 229 | $10K |
| D0120 | Periodic oral evaluation - established patient | 99 | 93 | $2K |
| D0272 | Bitewings - two radiographic images | 43 | 39 | $725.40 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 12 | $11.18 |
| D7140 | Extraction, erupted tooth or exposed root | 32 | 15 | $0.00 |