NPI: 1023160124 · WESTBURY, NY 11590 · General Practice Dentistry · NPI assigned 01/17/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64 | $2K |
| 2019 | 125 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39 | 39 | $2K |
| D0120 | Periodic oral evaluation - established patient | 42 | 42 | $989.89 |
| D0220 | Intraoral - periapical first radiographic image | 52 | 52 | $514.58 |
| D0230 | Intraoral - periapical each additional radiographic image | 41 | 39 | $246.41 |
| D0272 | Bitewings - two radiographic images | 15 | 15 | $196.62 |