NPI: 1033464607 · GOSHEN, NY 10924 · Pediatric Dentist · NPI assigned 07/19/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 893 | $22K |
| 2019 | 3,764 | $115K |
| 2020 | 40 | $1K |
| 2021 | 64 | $2K |
| 2022 | 41 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,080 | 1,080 | $41K | |
| D2392 | 306 | 169 | $24K | |
| D0120 | 599 | 598 | $15K | |
| D1206 | 514 | 514 | $15K | |
| D0150 | 506 | 506 | $13K | |
| D1208 | 553 | 553 | $7K | |
| D1351 | 140 | 51 | $6K | |
| D0220 | 447 | 443 | $6K | |
| D0272 | 240 | 240 | $4K | |
| D7140 | 49 | 39 | $3K | |
| D2393 | 31 | 26 | $3K | |
| D2930 | 16 | 12 | $2K | |
| D3220 | 16 | 12 | $1K | |
| D0274 | 33 | 33 | $875.95 | |
| D1110 | 13 | 13 | $665.00 | |
| D0330 | 16 | 16 | $612.00 | |
| D0230 | 47 | 47 | $309.60 | |
| D9230 | 196 | 178 | $0.00 |