NPI: 1861412082 · CLINTON, AR 72031 · General Practice Dentistry · NPI assigned 07/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,975 | $73K |
| 2019 | 1,776 | $88K |
| 2020 | 561 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 623 | 228 | $68K |
| D0120 | Periodic oral evaluation - established patient | 1,383 | 1,119 | $37K |
| D1110 | Prophylaxis - adult | 709 | 586 | $33K |
| D1120 | Prophylaxis - child | 569 | 451 | $20K |
| D0272 | Bitewings - two radiographic images | 810 | 676 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 119 | 60 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 77 | 53 | $7K |
| D2140 | 22 | 18 | $1K |