NPI: 1134315625 · BROOKLYN, NY 11206 · Pediatric Dentist · NPI assigned 09/19/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,982 | $306K |
| 2019 | 13,279 | $373K |
| 2020 | 4,660 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 5,491 | 5,335 | $794K | |
| D2930 | 433 | 287 | $9K | |
| D7140 | 261 | 150 | $3K | |
| D1120 | 3,376 | 3,376 | $653.60 | |
| D0120 | 3,226 | 3,226 | $358.15 | |
| D0220 | 899 | 888 | $177.65 | |
| D1208 | 3,090 | 3,084 | $159.60 | |
| D0272 | 2,196 | 2,194 | $96.90 | |
| D1206 | 181 | 179 | $85.50 | |
| D0274 | 445 | 445 | $27.55 | |
| D0330 | 440 | 440 | $0.00 | |
| D9230 | 521 | 508 | $0.00 | |
| D0191 | 39 | 39 | $0.00 | |
| D1354 | 274 | 83 | $0.00 | |
| D2391 | 314 | 262 | $0.00 | |
| D1110 | 15 | 15 | $0.00 | |
| D0140 | 473 | 473 | $0.00 | |
| D0603 | 3,149 | 3,149 | $0.00 | |
| D1330 | 1,398 | 1,398 | $0.00 | |
| D1351 | 1,096 | 378 | $0.00 | |
| D0150 | 122 | 122 | $0.00 | |
| D2392 | 482 | 385 | $0.00 |