NPI: 1902898307 · SALEM, OR 97305 · General Practice Dentistry · NPI assigned 08/22/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 561 | $3K |
| 2021 | 1,823 | $6K |
| 2022 | 168 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 414 | 412 | $2K | |
| D1206 | 426 | 425 | $2K | |
| D0150 | 102 | 102 | $1K | |
| D0220 | 392 | 383 | $1K | |
| D1110 | 182 | 181 | $987.00 | |
| D0274 | 188 | 188 | $928.00 | |
| D0210 | 40 | 40 | $928.00 | |
| D1120 | 113 | 113 | $840.00 | |
| D0140 | 131 | 130 | $735.00 | |
| D4910 | 78 | 77 | $700.00 | |
| D0230 | 314 | 275 | $396.00 | |
| D0602 | 76 | 74 | $263.00 | |
| D1999 | 45 | 38 | $0.00 | |
| D4921 | 33 | 14 | $0.00 | |
| D0601 | 18 | 16 | $0.00 |