NPI: 1932166139 · FORT SMITH, AR 72903 · Pediatric Dentist · NPI assigned 05/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,802 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 321 | 300 | $8K |
| D1120 | Prophylaxis - child | 234 | 221 | $8K |
| D1206 | Topical application of fluoride varnish | 410 | 388 | $8K |
| D0272 | Bitewings - two radiographic images | 333 | 318 | $8K |
| D1110 | Prophylaxis - adult | 168 | 159 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 85 | 77 | $2K |
| D0602 | 251 | 234 | $1K |