NPI: 1932303393 · RAYTOWN, MO 64133 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,709 | $115K |
| 2019 | 2,310 | $46K |
| 2020 | 612 | $13K |
| 2021 | 414 | $16K |
| 2022 | 1,139 | $37K |
| 2023 | 24 | $744.27 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 702 | 277 | $41K | |
| D1351 | 1,998 | 288 | $35K | |
| D0150 | 879 | 834 | $26K | |
| D0210 | 381 | 351 | $18K | |
| D1110 | 456 | 441 | $16K | |
| D0120 | 694 | 675 | $16K | |
| D0274 | 557 | 535 | $12K | |
| D2391 | 274 | 121 | $12K | |
| D1120 | 576 | 557 | $12K | |
| D1208 | 748 | 728 | $9K | |
| D0220 | 805 | 767 | $8K | |
| D7210 | 74 | 36 | $8K | |
| D0140 | 213 | 192 | $6K | |
| D0230 | 601 | 509 | $5K | |
| D0272 | 250 | 238 | $4K |