NPI: 1942619416 · SMITHFIELD, PA 15478 · Dentist · NPI assigned 08/08/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 223 | $7K |
| 2024 | 616 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 172 | 172 | $7K |
| D0120 | Periodic oral evaluation - established patient | 302 | 302 | $7K |
| D0274 | Bitewings - four radiographic images | 133 | 133 | $4K |
| D1206 | Topical application of fluoride varnish | 164 | 164 | $3K |
| D1120 | Prophylaxis - child | 27 | 27 | $915.12 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14 | 12 | $876.00 |
| D0272 | Bitewings - two radiographic images | 27 | 27 | $501.36 |