STATE DENTAL ARTS P.C
NPI: 1114267283
· WOODSIDE, NY 11377
· General Practice Dentistry
· NPI assigned 02/26/2013
Provider Details
| Authorized Official | STATE, LIGIA (DENTIST) |
| NPI Enumeration Date | 02/26/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36 |
$1K |
| 2019 |
88 |
$2K |
| 2020 |
255 |
$6K |
| 2021 |
410 |
$9K |
| 2022 |
300 |
$7K |
| 2023 |
83 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
445 |
445 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
218 |
218 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
200 |
200 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
158 |
158 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
43 |
$1K |
| D0274 |
Bitewings - four radiographic images |
67 |
67 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$860.16 |