NPI: 1952778532 · LITCHFIELD PARK, AZ 85340 · Dentist · NPI assigned 08/30/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 311 | $0.00 |
| 2019 | 73 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 111 | 91 | $0.00 |
| D1120 | Prophylaxis - child | 35 | 31 | $0.00 |
| D0274 | Bitewings - four radiographic images | 17 | 14 | $0.00 |
| D1110 | Prophylaxis - adult | 13 | 12 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 119 | 107 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 50 | 44 | $0.00 |
| D1206 | Topical application of fluoride varnish | 39 | 36 | $0.00 |