NPI: 1972096089 · WARRENTON, MO 63383 · Dentist · NPI assigned 06/13/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,171 | $77K |
| 2019 | 2,803 | $194K |
| 2020 | 442 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 367 | 257 | $62K | |
| D2391 | 464 | 275 | $58K | |
| D1206 | 644 | 634 | $25K | |
| D0330 | 254 | 250 | $24K | |
| D0274 | 447 | 435 | $22K | |
| D1120 | 436 | 428 | $22K | |
| D1110 | 267 | 257 | $18K | |
| D0120 | 454 | 435 | $17K | |
| D0150 | 246 | 240 | $17K | |
| D0220 | 353 | 338 | $8K | |
| D0140 | 72 | 71 | $5K | |
| D0230 | 147 | 108 | $5K | |
| D9230 | 71 | 66 | $4K | |
| D0272 | 116 | 116 | $4K | |
| D7111 | 23 | 14 | $2K | |
| D1351 | 35 | 12 | $2K | |
| D1208 | 20 | 12 | $615.00 |