WESTCHESTER ELITE DENTAL P.C.
NPI: 1104143262
· YONKERS, NY 10705
· Dentist
· NPI assigned 04/29/2010
Provider Details
| Authorized Official | GEDEON, SIMON (PRESIDENT) |
| NPI Enumeration Date | 04/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
561 |
$13K |
| 2019 |
777 |
$14K |
| 2020 |
640 |
$11K |
| 2021 |
980 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
449 |
448 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
591 |
590 |
$13K |
| D0274 |
Bitewings - four radiographic images |
546 |
546 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
751 |
744 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
583 |
583 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$1K |
| D1999 |
|
23 |
21 |
$0.00 |