NPI: 1982714036 · HAMLET, NC 28345 · General Practice Dentistry · NPI assigned 08/30/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 735 | $18K |
| 2019 | 943 | $26K |
| 2020 | 109 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 596 | 554 | $20K |
| D0120 | Periodic oral evaluation - established patient | 690 | 633 | $15K |
| D0274 | Bitewings - four radiographic images | 239 | 221 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 151 | 134 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 47 | 43 | $2K |
| D2140 | 19 | 13 | $1K | |
| D1206 | Topical application of fluoride varnish | 30 | 27 | $433.98 |
| D1120 | Prophylaxis - child | 15 | 14 | $338.90 |