NPI: 1851591705 · SAN LUIS, AZ 85349 · General Practice Dentistry · NPI assigned 07/19/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,631 | $321.00 |
| 2019 | 9,079 | $0.00 |
| 2024 | 14 | $48.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,393 | 915 | $192.00 | |
| D0220 | 3,048 | 2,690 | $58.20 | |
| D1120 | 2,166 | 1,978 | $34.00 | |
| D9230 | 508 | 443 | $29.00 | |
| D0120 | 2,682 | 2,421 | $22.00 | |
| D1206 | 2,751 | 2,481 | $15.00 | |
| D0272 | 1,159 | 1,058 | $14.00 | |
| D0230 | 3,208 | 2,086 | $5.00 | |
| D0274 | 1,370 | 1,223 | $0.00 | |
| D1110 | 709 | 636 | $0.00 | |
| D2391 | 994 | 520 | $0.00 | |
| D0330 | 117 | 109 | $0.00 | |
| D2930 | 66 | 28 | $0.00 | |
| D0140 | 450 | 354 | $0.00 | |
| D2393 | 335 | 217 | $0.00 | |
| D0150 | 209 | 184 | $0.00 | |
| D1351 | 1,068 | 400 | $0.00 | |
| D0210 | 250 | 234 | $0.00 | |
| D3220 | 194 | 69 | $0.00 | |
| D9248 | 29 | 26 | $0.00 | |
| D2330 | 18 | 13 | $0.00 |