NPI: 1912068263 · TUSKEGEE, AL 36083 · General Practice Dentistry · NPI assigned 12/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $738.00 |
| 2019 | 100 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 68 | 67 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 39 | 39 | $570.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $420.00 |
| D1120 | Prophylaxis - child | 12 | 12 | $336.00 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $216.00 |