NPI: 1134189509 · GLENDALE, NY 11385 · Dentist · NPI assigned 03/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 320 | $7K |
| 2021 | 197 | $4K |
| 2022 | 42 | $728.50 |
| 2023 | 51 | $1K |
| 2024 | 162 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 411 | 411 | $8K |
| D1110 | Prophylaxis - adult | 157 | 157 | $5K |
| D0274 | Bitewings - four radiographic images | 55 | 55 | $989.30 |
| D0220 | Intraoral - periapical first radiographic image | 90 | 89 | $771.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 30 | $576.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 29 | 29 | $128.80 |