NPI: 1154344679 · NORTH TONAWANDA, NY 14120 · General Practice Dentistry · NPI assigned 07/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 732 | $30K |
| 2019 | 870 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 580 | 580 | $31K |
| D0120 | Periodic oral evaluation - established patient | 754 | 753 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 93 | 84 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 45 | 32 | $2K |
| D0274 | Bitewings - four radiographic images | 75 | 75 | $2K |
| D1120 | Prophylaxis - child | 27 | 27 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 28 | 28 | $391.30 |