NPI: 1912490251 · PARIS, KY 40361 · General Practice Dentistry · NPI assigned 06/12/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 87 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 33 | 33 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14 | 12 | $868.50 |
| D0330 | Panoramic radiographic image | 13 | 13 | $368.40 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $363.00 |
| D0220 | Intraoral - periapical first radiographic image | 15 | 14 | $92.56 |