MA, LI
NPI: 1033626171
· SETAUKET, NY 11733
· General Practice Dentistry
· NPI assigned 01/10/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
230 |
$6K |
| 2022 |
694 |
$19K |
| 2023 |
470 |
$12K |
| 2024 |
14 |
$146.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
460 |
460 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
294 |
294 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
313 |
303 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
94 |
94 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
147 |
144 |
$2K |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
31 |
28 |
$821.76 |
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$263.85 |