NPI: 1932838349 · VERNON, TX 76384 · Dentist · NPI assigned 06/09/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 349 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14 | 14 | $0.00 |
| D0274 | Bitewings - four radiographic images | 22 | 22 | $0.00 |
| D1120 | Prophylaxis - child | 33 | 33 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 15 | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 41 | 41 | $0.00 |
| D0603 | 41 | 41 | $0.00 | |
| D0602 | 21 | 20 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 43 | 43 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 80 | 41 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $0.00 |