NPI: 1841559242 · LEWISTON, ME 04240 · Dental Hygienist · NPI assigned 05/07/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,264 | $18K |
| 2019 | 1,427 | $19K |
| 2021 | 56 | $897.40 |
| 2022 | 2,057 | $63K |
| 2023 | 3,567 | $102K |
| 2024 | 5,477 | $156K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 7,333 | 1,196 | $181K |
| D1120 | Prophylaxis - child | 1,499 | 1,481 | $59K |
| D1206 | Topical application of fluoride varnish | 2,030 | 2,013 | $40K |
| D0190 | 1,367 | 1,345 | $26K | |
| D1110 | Prophylaxis - adult | 413 | 409 | $25K |
| D1354 | 927 | 365 | $21K | |
| D2940 | 53 | 31 | $3K | |
| D1330 | 206 | 206 | $3K | |
| D0191 | 20 | 20 | $261.40 |