NPI: 1841817400 · ENGLEWOOD, CO 80112 · General Practice Dentistry · NPI assigned 06/30/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 186 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 42 | 18 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 13 | $3K |
| D0330 | Panoramic radiographic image | 33 | 32 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 31 | 30 | $1K |
| D1110 | Prophylaxis - adult | 20 | 19 | $849.85 |
| D0140 | Limited oral evaluation - problem focused | 19 | 19 | $638.97 |
| D0274 | Bitewings - four radiographic images | 16 | 15 | $476.80 |