NPI: 1952313132 · RIPLEY, MS 38663 · Dentist · NPI assigned 08/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 673 | $11K |
| 2019 | 246 | $5K |
| 2020 | 96 | $3K |
| 2021 | 12 | $306.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 373 | 331 | $8K |
| D0120 | Periodic oral evaluation - established patient | 302 | 261 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 268 | 232 | $3K |
| D0272 | Bitewings - two radiographic images | 67 | 60 | $1K |
| D1206 | Topical application of fluoride varnish | 17 | 14 | $261.80 |