NPI: 1932639747 · LAWRENCE, KS 66044 · Dentist · NPI assigned 06/14/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 121 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 43 | 24 | $794.00 |
| D0220 | Intraoral - periapical first radiographic image | 41 | 41 | $432.00 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $187.00 |
| D0274 | Bitewings - four radiographic images | 24 | 24 | $159.00 |