NPI: 1881927887 · ELKINS PARK, PA 19027 · General Practice Dentistry · NPI assigned 09/09/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 170 | $3K |
| 2021 | 1,770 | $37K |
| 2024 | 1,220 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 791 | 781 | $27K |
| D0274 | Bitewings - four radiographic images | 518 | 511 | $14K |
| D0120 | Periodic oral evaluation - established patient | 544 | 536 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 543 | 534 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 210 | 210 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 519 | 511 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 35 | 26 | $2K |