NPI: 1902911686
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 178 | $5K |
| 2019 | 132 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D6010 | 28 | 12 | $30K | |
| D1110 | Prophylaxis - adult | 89 | 89 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 97 | 95 | $1K |
| D0120 | Periodic oral evaluation - established patient | 59 | 59 | $1K |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $560.00 |
| D1330 | 23 | 23 | $322.00 |