NPI: 1881629194 · BELDING, MI 48809 · Dentist · NPI assigned 07/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 318 | $9K |
| 2019 | 421 | $12K |
| 2020 | 289 | $8K |
| 2021 | 117 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 434 | 434 | $11K |
| D1120 | Prophylaxis - child | 257 | 257 | $9K |
| D1206 | Topical application of fluoride varnish | 316 | 316 | $7K |
| D1110 | Prophylaxis - adult | 106 | 106 | $5K |
| D0274 | Bitewings - four radiographic images | 16 | 16 | $564.00 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 16 | $177.39 |