NPI: 1851302210 · PEYTON, CO 80831 · Dentist · NPI assigned 08/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 133 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 15 | 12 | $7K |
| D1110 | Prophylaxis - adult | 25 | 23 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19 | 15 | $723.90 |
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $552.50 |
| D0274 | Bitewings - four radiographic images | 18 | 16 | $516.60 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $397.68 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 19 | $230.66 |