NPI: 1942961701 · SCAPPOOSE, OR 97056 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 49 | $0.00 |
| 2024 | 2,447 | $993.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 186 | 161 | $329.00 | |
| D0210 | 78 | 59 | $174.00 | |
| D1206 | 244 | 204 | $171.00 | |
| D0150 | 110 | 86 | $114.00 | |
| D0140 | 34 | 27 | $70.00 | |
| D0120 | 92 | 80 | $56.00 | |
| D0220 | 150 | 123 | $39.00 | |
| D0603 | 179 | 150 | $22.00 | |
| D0230 | 123 | 84 | $18.00 | |
| D1120 | 62 | 49 | $0.00 | |
| D4921 | 40 | 15 | $0.00 | |
| D0274 | 68 | 52 | $0.00 | |
| D1330 | 575 | 472 | $0.00 | |
| D1310 | 555 | 455 | $0.00 |