NPI: 1932384708 · BIRMINGHAM, MI 48009 · Dentist · NPI assigned 12/29/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 395 | $12K |
| 2019 | 266 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 187 | 187 | $7K |
| D0120 | Periodic oral evaluation - established patient | 244 | 244 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 186 | 186 | $4K |
| D0274 | Bitewings - four radiographic images | 29 | 29 | $1K |
| D1110 | Prophylaxis - adult | 15 | 15 | $792.00 |