NPI: 1952516320 · MT PLEASANT, PA 15666 · General Practice Dentistry · NPI assigned 05/11/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 320 | $10K |
| 2021 | 2,188 | $65K |
| 2024 | 3,500 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,002 | 997 | $34K |
| D0120 | Periodic oral evaluation - established patient | 1,260 | 1,253 | $24K |
| D0330 | Panoramic radiographic image | 424 | 422 | $15K |
| D0274 | Bitewings - four radiographic images | 580 | 578 | $15K |
| D1351 | Sealant - per tooth | 512 | 72 | $12K |
| D2160 | 167 | 105 | $10K | |
| D1206 | Topical application of fluoride varnish | 390 | 388 | $7K |
| D2140 | 169 | 93 | $7K | |
| D1330 | 550 | 549 | $6K | |
| D1310 | 552 | 551 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 84 | 54 | $4K |
| D9110 | 138 | 132 | $4K | |
| D1120 | Prophylaxis - child | 126 | 126 | $4K |
| D0272 | Bitewings - two radiographic images | 41 | 39 | $624.00 |
| D1320 | 13 | 13 | $39.82 |