NPI: 1043362106 · ENDICOTT, NY 13760 · General Practice Dentistry · NPI assigned 01/17/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 127 | $5K |
| 2019 | 295 | $12K |
| 2020 | 311 | $13K |
| 2021 | 270 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 547 | 546 | $20K |
| D1110 | Prophylaxis - adult | 283 | 283 | $16K |
| D0330 | Panoramic radiographic image | 77 | 77 | $3K |
| D0120 | Periodic oral evaluation - established patient | 56 | 56 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $702.00 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 13 | $210.10 |