NPI: 1932589728 · XENIA, OH 45385 · General Practice Dentistry · NPI assigned 06/05/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 376 | $12K |
| 2019 | 656 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 168 | 41 | $10K |
| D0330 | Panoramic radiographic image | 208 | 200 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 309 | 299 | $8K |
| D7310 | 24 | 12 | $2K | |
| D2160 | 27 | 12 | $2K | |
| D1110 | Prophylaxis - adult | 52 | 52 | $2K |
| D2161 | 21 | 12 | $2K | |
| D0274 | Bitewings - four radiographic images | 193 | 186 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 16 | 14 | $720.00 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $195.00 |