NPI: 1952324493 · CLARKSVILLE, TN 37043 · General Practice Dentistry · NPI assigned 07/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 246 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 61 | 60 | $3K |
| D0140 | Limited oral evaluation - problem focused | 57 | 54 | $1K |
| D1206 | Topical application of fluoride varnish | 27 | 27 | $586.30 |
| D0210 | Intraoral - complete series of radiographic images | 13 | 13 | $572.76 |
| D0220 | Intraoral - periapical first radiographic image | 44 | 43 | $463.45 |
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $391.65 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $337.81 |
| D0230 | Intraoral - periapical each additional radiographic image | 17 | 12 | $130.62 |