NPI: 1912344623 · CHALFONT, PA 18914 · Dentist · NPI assigned 06/04/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 407 | $10K |
| 2024 | 98 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 160 | 159 | $4K |
| D1110 | Prophylaxis - adult | 85 | 84 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 86 | 85 | $2K |
| D0120 | Periodic oral evaluation - established patient | 74 | 74 | $1K |
| D0330 | Panoramic radiographic image | 29 | 28 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 12 | $224.02 |
| D1310 | 30 | 30 | $173.00 | |
| D1330 | 28 | 28 | $150.00 |