NPI: 1104383868 · FAYETTEVILLE, NC 28304 · General Practice Dentistry · NPI assigned 02/28/2019
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 02/28/2019 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 230 | $8K |
| 2020 | 171 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 104 | 102 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 122 | 53 | $1K |
| D0330 | Panoramic radiographic image | 28 | 27 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 79 | 71 | $1K |
| D0274 | Bitewings - four radiographic images | 17 | 14 | $402.60 |
| D1110 | Prophylaxis - adult | 13 | 13 | $358.47 |
| D1206 | Topical application of fluoride varnish | 13 | 12 | $167.80 |