NEW ROCHELLE DENTAL PC
NPI: 1023161452
· NEW ROCHELLE, NY 10801
· General Practice Dentistry
· NPI assigned 01/19/2007
Provider Details
| Authorized Official | KANATOV, VALERIY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$1K |
| 2022 |
12 |
$505.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$313.81 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$140.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$91.92 |