NPI: 1902070915
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,105 | $38K |
| 2019 | 924 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,330 | 927 | $52K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 197 | 184 | $13K |
| D1206 | Topical application of fluoride varnish | 166 | 166 | $3K |
| 92551 | 194 | 194 | $2K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14 | 12 | $1K |
| 99201 | 19 | 19 | $717.48 | |
| 99411 | 24 | 24 | $354.96 | |
| 99173 | 85 | 85 | $209.16 |