NPI: 1154523769 · KNIGHTDALE, NC 27545 · General Practice Dentistry · NPI assigned 06/05/2007
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (CEO) |
| NPI Enumeration Date | 06/05/2007 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,527 | $75K |
| 2019 | 6,254 | $145K |
| 2020 | 6,764 | $171K |
| 2021 | 6,637 | $154K |
| 2022 | 6,974 | $152K |
| 2023 | 9,049 | $195K |
| 2024 | 16,375 | $329K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 6,178 | 5,335 | $204K |
| D0120 | Periodic oral evaluation - established patient | 8,248 | 7,398 | $189K |
| D0230 | Intraoral - periapical each additional radiographic image | 11,969 | 6,079 | $124K |
| D0274 | Bitewings - four radiographic images | 4,485 | 3,838 | $116K |
| D0220 | Intraoral - periapical first radiographic image | 8,356 | 7,231 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,357 | 631 | $104K |
| D1206 | Topical application of fluoride varnish | 6,964 | 6,178 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,326 | 1,948 | $79K |
| D0330 | Panoramic radiographic image | 1,711 | 1,376 | $69K |
| D1120 | Prophylaxis - child | 2,444 | 2,231 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 572 | 224 | $26K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 78 | 57 | $9K |
| D9243 | 64 | 40 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 220 | 181 | $6K |
| D0272 | Bitewings - two radiographic images | 399 | 349 | $6K |
| D9239 | 77 | 63 | $4K | |
| D9612 | 78 | 64 | $4K | |
| D1999 | 54 | 52 | $0.00 |