NPI: 1861554313 · PHILA, PA 19125 · Dentist · NPI assigned 12/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 288 | $12K |
| 2021 | 235 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9920 | 122 | 119 | $39K | |
| D1110 | Prophylaxis - adult | 116 | 112 | $36.00 |
| D1208 | Topical application of fluoride, excluding varnish | 131 | 126 | $18.72 |
| D0120 | Periodic oral evaluation - established patient | 125 | 121 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 29 | 28 | $0.00 |