NPI: 1124000617 · BRIARWOOD, NY 11435 · Dentist · NPI assigned 11/18/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 172 | $3K |
| 2019 | 411 | $7K |
| 2020 | 456 | $7K |
| 2021 | 514 | $7K |
| 2022 | 629 | $10K |
| 2023 | 468 | $7K |
| 2024 | 351 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 496 | 496 | $17K |
| D0274 | Bitewings - four radiographic images | 547 | 545 | $10K |
| D0120 | Periodic oral evaluation - established patient | 397 | 396 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 889 | 867 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 647 | 644 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25 | 25 | $353.64 |