NPI: 1962465302 · KENNER, LA 70062 · Dentist · NPI assigned 04/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 248 | $8K |
| 2019 | 154 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 199 | 198 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 78 | 78 | $5K |
| D1110 | Prophylaxis - adult | 33 | 33 | $1K |
| D1120 | Prophylaxis - child | 41 | 41 | $1K |
| D0272 | Bitewings - two radiographic images | 51 | 51 | $385.74 |