NPI: 1841500576 · INDEPENDENCE, MO 64050 · General Practice Dentistry · NPI assigned 10/15/2010
| Authorized Official | SHEHAN, KRISTA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/15/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $266.96 |
| 2019 | 273 | $4K |
| 2020 | 40 | $576.81 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 80 | 77 | $2K |
| D0120 | Periodic oral evaluation - established patient | 52 | 52 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 74 | 71 | $822.10 |
| D0230 | Intraoral - periapical each additional radiographic image | 79 | 26 | $559.30 |
| D0220 | Intraoral - periapical first radiographic image | 40 | 40 | $343.20 |