CAPITAL AREA HUDSON VALLEY NY DENTAL
NPI: 1043382203
· AMHERST, MA 01002
· Dentist
· NPI assigned 11/14/2006
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | KNOLL, G (PRESIDENT) |
| NPI Enumeration Date | 11/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,179 |
$45K |
| 2019 |
908 |
$33K |
| 2020 |
232 |
$8K |
| 2021 |
241 |
$6K |
| 2022 |
386 |
$14K |
| 2023 |
105 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,130 |
1,121 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
874 |
870 |
$25K |
| D1110 |
Prophylaxis - adult |
353 |
351 |
$24K |
| D1120 |
Prophylaxis - child |
414 |
412 |
$21K |
| D0274 |
Bitewings - four radiographic images |
280 |
278 |
$12K |