NPI: 1982779732 · YAKIMA, WA 98902 · General Practice Dentistry · NPI assigned 11/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 314 | $5K |
| 2019 | 441 | $8K |
| 2020 | 333 | $6K |
| 2021 | 453 | $9K |
| 2022 | 626 | $13K |
| 2023 | 502 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,117 | 1,045 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 942 | 867 | $14K |
| D1120 | Prophylaxis - child | 331 | 309 | $7K |
| D1110 | Prophylaxis - adult | 211 | 203 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27 | 14 | $1K |
| D0274 | Bitewings - four radiographic images | 41 | 40 | $490.87 |