NPI: 1891123691 · LANDOVER HILLS, MD 20784 · Dentist · NPI assigned 10/15/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 467 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 83 | 81 | $3K |
| D1206 | Topical application of fluoride varnish | 113 | 109 | $3K |
| D0120 | Periodic oral evaluation - established patient | 82 | 80 | $2K |
| D0274 | Bitewings - four radiographic images | 31 | 30 | $1K |
| D1351 | Sealant - per tooth | 33 | 13 | $1K |
| D0272 | Bitewings - two radiographic images | 30 | 29 | $994.97 |
| D0603 | 95 | 91 | $0.16 |