NPI: 1942223243 · AMHERST, MA 01002 · General Practice Dentistry · NPI assigned 07/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 310 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 134 | 134 | $3K |
| D1110 | Prophylaxis - adult | 54 | 54 | $3K |
| D1120 | Prophylaxis - child | 44 | 44 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 63 | 63 | $2K |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $615.00 |