NPI: 1992018444 · POMEROY, OH 45769 · General Practice Dentistry · NPI assigned 07/26/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 559 | $12K |
| 2019 | 246 | $6K |
| 2020 | 52 | $1K |
| 2021 | 194 | $5K |
| 2022 | 113 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 423 | 409 | $14K |
| D0120 | Periodic oral evaluation - established patient | 265 | 251 | $4K |
| D1206 | Topical application of fluoride varnish | 226 | 211 | $3K |
| D1120 | Prophylaxis - child | 121 | 110 | $2K |
| D0274 | Bitewings - four radiographic images | 98 | 97 | $2K |
| D0330 | Panoramic radiographic image | 15 | 15 | $729.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $415.05 |