NPI: 1881981454 · RUSSELL SPRINGS, KY 42642 · General Practice Dentistry · NPI assigned 07/05/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 620 | $12K |
| 2019 | 97 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 188 | 157 | $6K |
| D0120 | Periodic oral evaluation - established patient | 235 | 201 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 255 | 219 | $3K |
| D1110 | Prophylaxis - adult | 15 | 15 | $509.49 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $196.56 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $112.32 |