NPI: 1871957472 · SANDY SPRINGS, GA 30342 · General Practice Dentistry · NPI assigned 04/09/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 223 | $5K |
| 2019 | 37 | $564.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 85 | 85 | $1K |
| D0120 | Periodic oral evaluation - established patient | 64 | 64 | $1K |
| D1120 | Prophylaxis - child | 52 | 52 | $1K |
| D1110 | Prophylaxis - adult | 28 | 28 | $955.64 |
| D0150 | Comprehensive oral evaluation - new or established patient | 31 | 31 | $816.85 |