NPI: 1972616068 · CHARLES CITY, IA 50616 · Dentist · NPI assigned 08/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 721 | $17K |
| 2019 | 326 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 393 | 383 | $14K |
| D0120 | Periodic oral evaluation - established patient | 505 | 472 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 121 | 110 | $2K |
| D0274 | Bitewings - four radiographic images | 16 | 14 | $370.21 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $251.77 |