NPI: 1851740070 · WENTZVILLE, MO 63385 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,662 | $464K |
| 2019 | 5,355 | $294K |
| 2020 | 1,033 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 715 | 443 | $134K | |
| D1120 | 1,650 | 1,627 | $88K | |
| D0120 | 2,046 | 2,012 | $85K | |
| D1206 | 2,033 | 1,998 | $84K | |
| D2391 | 541 | 372 | $79K | |
| D0330 | 743 | 741 | $69K | |
| D1110 | 789 | 771 | $59K | |
| D0272 | 1,415 | 1,395 | $55K | |
| D0274 | 862 | 845 | $45K | |
| D0150 | 453 | 446 | $33K | |
| D0140 | 337 | 332 | $23K | |
| D0220 | 748 | 730 | $18K | |
| D0230 | 394 | 288 | $13K | |
| D1208 | 232 | 227 | $7K | |
| D7140 | 39 | 32 | $6K | |
| D9230 | 38 | 29 | $3K | |
| D0210 | 15 | 15 | $899.00 |