NPI: 1053300533 · CASTLETON, NY 12033 · General Practice Dentistry · NPI assigned 10/18/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $734.00 |
| 2019 | 128 | $5K |
| 2020 | 268 | $9K |
| 2021 | 603 | $22K |
| 2022 | 758 | $27K |
| 2023 | 583 | $21K |
| 2024 | 446 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,354 | 1,351 | $63K |
| D0120 | Periodic oral evaluation - established patient | 946 | 944 | $23K |
| D0274 | Bitewings - four radiographic images | 338 | 336 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 129 | 129 | $4K |
| D2140 | 17 | 12 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 16 | 16 | $759.04 |