NPI: 1881255644 · MANNING, IA 51455 · General Practice Dentistry · NPI assigned 06/24/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 209 | $5K |
| 2021 | 753 | $14K |
| 2022 | 479 | $9K |
| 2023 | 588 | $10K |
| 2024 | 628 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,039 | 896 | $16K |
| D0120 | Periodic oral evaluation - established patient | 846 | 750 | $15K |
| D1120 | Prophylaxis - child | 491 | 428 | $13K |
| D1110 | Prophylaxis - adult | 96 | 76 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 91 | 81 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 50 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | 31 | 25 | $663.85 |
| D0272 | Bitewings - two radiographic images | 13 | 12 | $225.47 |