NPI: 1932631215 · ORANGE CITY, FL 32763 · General Practice Dentistry · NPI assigned 03/28/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 762 | $15K |
| 2022 | 395 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 245 | 241 | $7K |
| D0330 | Panoramic radiographic image | 139 | 134 | $4K |
| D1999 | 381 | 367 | $4K | |
| D0272 | Bitewings - two radiographic images | 189 | 185 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 97 | 94 | $2K |
| D0120 | Periodic oral evaluation - established patient | 106 | 104 | $2K |