NPI: 1841552361 · SEVIERVILLE, TN 37862 · General Practice Dentistry · NPI assigned 06/11/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 872 | $24K |
| 2019 | 1,266 | $36K |
| 2020 | 868 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 598 | 595 | $25K |
| D0120 | Periodic oral evaluation - established patient | 955 | 952 | $22K |
| D0274 | Bitewings - four radiographic images | 467 | 465 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 473 | 472 | $10K |
| D1120 | Prophylaxis - child | 233 | 233 | $8K |
| D1206 | Topical application of fluoride varnish | 245 | 244 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $736.00 |
| D1351 | Sealant - per tooth | 23 | 12 | $659.25 |