NPI: 1902928732 · SCOTTSBURG, IN 47170 · General Practice Dentistry · NPI assigned 04/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 81 | $0.00 |
| 2019 | 92 | $3K |
| 2020 | 69 | $3K |
| 2021 | 218 | $8K |
| 2022 | 353 | $12K |
| 2023 | 276 | $10K |
| 2024 | 169 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 540 | 522 | $26K |
| D0120 | Periodic oral evaluation - established patient | 607 | 579 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 57 | 54 | $1K |
| D0274 | Bitewings - four radiographic images | 15 | 13 | $552.16 |
| D1120 | Prophylaxis - child | 12 | 12 | $414.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $0.00 |