NPI: 1912510678 · NORTH BEND, OR 97459 · Dentist · NPI assigned 08/24/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 162 | $155.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 27 | 27 | $60.64 |
| D0220 | Intraoral - periapical first radiographic image | 50 | 48 | $57.13 |
| D0230 | Intraoral - periapical each additional radiographic image | 55 | 47 | $37.28 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $0.00 |