NPI: 1154644284 · ELMIRA HEIGHTS, NY 14903 · Dentist · NPI assigned 03/03/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 591 | $22K |
| 2020 | 411 | $18K |
| 2021 | 118 | $3K |
| 2022 | 379 | $58K |
| 2023 | 366 | $46K |
| 2024 | 249 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7962 | 321 | 321 | $60K | |
| D7961 | 287 | 286 | $54K | |
| D1110 | Prophylaxis - adult | 376 | 376 | $19K |
| D9310 | 177 | 177 | $14K | |
| D0120 | Periodic oral evaluation - established patient | 408 | 408 | $10K |
| D0274 | Bitewings - four radiographic images | 214 | 213 | $6K |
| D7960 | 16 | 15 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 39 | 26 | $3K |
| D9995 | 117 | 110 | $3K | |
| D9430 | 92 | 80 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 53 | 53 | $689.50 |
| D0330 | Panoramic radiographic image | 14 | 14 | $395.40 |