NPI: 1881367050 · HENDERSONVILLE, TN 37075 · General Practice Dentistry · NPI assigned 07/26/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 84 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 13 | 13 | $781.69 |
| D0230 | Intraoral - periapical each additional radiographic image | 36 | 18 | $351.00 |
| D1208 | Topical application of fluoride, excluding varnish | 16 | 16 | $300.00 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 19 | $247.00 |