NPI: 1902417454 · LAWRENCEBURG, IN 47025 · Dentist · NPI assigned 08/10/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 70 | $3K |
| 2021 | 89 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 47 | 45 | $2K |
| D0330 | Panoramic radiographic image | 29 | 29 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 54 | 30 | $1K |
| D0140 | Limited oral evaluation - problem focused | 13 | 12 | $545.04 |
| D1206 | Topical application of fluoride varnish | 16 | 13 | $200.25 |