NPI: 1912018748 · BASSFIELD, MS 39421 · General Practice Dentistry · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 477 | $8K |
| 2019 | 136 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 221 | 168 | $6K |
| D1120 | Prophylaxis - child | 178 | 134 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 190 | 137 | $2K |
| D0330 | Panoramic radiographic image | 12 | 12 | $650.68 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $309.36 |