NPI: 1093796963 · NY, NY 10031 · Dentist · NPI assigned 11/08/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 366 | $7K |
| 2019 | 347 | $7K |
| 2020 | 357 | $5K |
| 2021 | 167 | $2K |
| 2022 | 129 | $2K |
| 2023 | 1,357 | $28K |
| 2024 | 1,521 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 827 | 825 | $34K |
| D0120 | Periodic oral evaluation - established patient | 1,053 | 1,052 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 925 | 924 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 429 | 428 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 587 | 587 | $4K |
| D0274 | Bitewings - four radiographic images | 284 | 284 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 108 | 108 | $2K |
| D1206 | Topical application of fluoride varnish | 31 | 31 | $743.50 |