NPI: 1104279546 · NEWPORT, RI 02840 · Dentist · NPI assigned 07/21/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,048 | $374K |
| 2019 | 2,473 | $75K |
| 2020 | 3,994 | $161K |
| 2021 | 5,696 | $240K |
| 2022 | 9,676 | $413K |
| 2023 | 8,926 | $373K |
| 2024 | 6,247 | $280K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,714 | 10,052 | $1.59M |
| D1120 | 3,944 | 2,365 | $100K | |
| D1208 | 3,239 | 2,052 | $56K | |
| D1351 | 3,031 | 513 | $34K | |
| D0274 | 3,305 | 2,308 | $28K | |
| D0120 | 4,026 | 2,875 | $26K | |
| D1206 | 1,247 | 621 | $21K | |
| D2392 | 601 | 317 | $21K | |
| D1110 | 3,623 | 2,948 | $16K | |
| D0150 | 818 | 538 | $12K | |
| D0140 | 1,423 | 1,120 | $3K | |
| D0220 | 2,309 | 1,829 | $3K | |
| D2940 | 226 | 127 | $3K | |
| D2391 | 87 | 47 | $2K | |
| D0272 | 142 | 105 | $2K | |
| D7140 | 587 | 347 | $2K | |
| D0210 | 298 | 247 | $1K | |
| D2150 | 173 | 141 | $240.00 | |
| D0230 | 193 | 108 | $192.00 | |
| DS001 | 495 | 393 | $0.00 | |
| D0603 | 423 | 383 | $0.00 | |
| D0601 | 272 | 223 | $0.00 | |
| D0602 | 1,239 | 1,117 | $0.00 | |
| D0024 | 561 | 465 | $0.00 | |
| D0999 | 70 | 47 | $0.00 | |
| D2331 | 14 | 12 | $0.00 |