NPI: 1861496267 · POCAHONTAS, AR 72455 · Dentist · NPI assigned 06/13/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,004 | $26K |
| 2019 | 483 | $13K |
| 2020 | 123 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 480 | 421 | $12K |
| D1110 | Prophylaxis - adult | 233 | 203 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 349 | 303 | $7K |
| D0272 | Bitewings - two radiographic images | 286 | 253 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 165 | 107 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 97 | 73 | $2K |