NPI: 1992793178 · OAKLAND, MD 21550 · General Practice Dentistry · NPI assigned 10/11/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 888 | $20K |
| 2021 | 1,311 | $36K |
| 2022 | 1,198 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,373 | 1,358 | $49K |
| D0120 | Periodic oral evaluation - established patient | 1,227 | 1,213 | $19K |
| D0330 | Panoramic radiographic image | 277 | 273 | $11K |
| D0274 | Bitewings - four radiographic images | 300 | 296 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 31 | 15 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 170 | 161 | $1K |