NPI: 1912227877 · CLINTON, NC 28328 · Dentist · NPI assigned 06/02/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 798 | $19K |
| 2019 | 826 | $22K |
| 2020 | 679 | $18K |
| 2021 | 730 | $21K |
| 2022 | 696 | $18K |
| 2023 | 606 | $15K |
| 2024 | 525 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,035 | 1,965 | $51K |
| D1110 | Prophylaxis - adult | 1,209 | 1,172 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 1,182 | 1,151 | $19K |
| D1120 | Prophylaxis - child | 422 | 409 | $11K |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $361.05 |