NPI: 1154693455 · GASTONIA, NC 28054 · General Practice Dentistry · NPI assigned 02/01/2012
Authorized official COHEN, JEFF controls 20+ related entities in our dataset. Read more
| Authorized Official | COHEN, JEFF (GENERAL MANAGER) |
| NPI Enumeration Date | 02/01/2012 |
Other providers sharing the same authorized official: COHEN, JEFF
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,622 | $262K |
| 2019 | 8,063 | $295K |
| 2020 | 7,487 | $241K |
| 2021 | 9,808 | $307K |
| 2022 | 10,163 | $332K |
| 2023 | 8,269 | $310K |
| 2024 | 8,645 | $327K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,847 | 2,147 | $373K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,029 | 3,531 | $152K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,041 | 1,293 | $151K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,245 | 871 | $145K |
| D0330 | Panoramic radiographic image | 4,039 | 3,554 | $142K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,542 | 639 | $139K |
| D0230 | Intraoral - periapical each additional radiographic image | 11,572 | 5,332 | $128K |
| D1110 | Prophylaxis - adult | 3,029 | 2,749 | $105K |
| D0274 | Bitewings - four radiographic images | 4,512 | 4,022 | $101K |
| D0220 | Intraoral - periapical first radiographic image | 7,518 | 6,567 | $95K |
| D0140 | Limited oral evaluation - problem focused | 2,868 | 2,492 | $92K |
| D8670 | Periodic orthodontic treatment visit | 955 | 907 | $90K |
| D0120 | Periodic oral evaluation - established patient | 3,911 | 3,496 | $90K |
| D4355 | 831 | 767 | $51K | |
| D1120 | Prophylaxis - child | 1,920 | 1,621 | $44K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 859 | 684 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 1,933 | 1,664 | $28K |
| D1351 | Sealant - per tooth | 893 | 169 | $23K |
| D2335 | 144 | 90 | $17K | |
| D4341 | 204 | 88 | $17K | |
| D7140 | Extraction, erupted tooth or exposed root | 303 | 137 | $15K |
| D1206 | Topical application of fluoride varnish | 875 | 753 | $12K |
| D0272 | Bitewings - two radiographic images | 779 | 684 | $12K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 12 | 12 | $11K |
| D2332 | 64 | 39 | $6K | |
| D4342 | 48 | 26 | $3K | |
| D2331 | 26 | 13 | $2K | |
| D0340 | 14 | 13 | $684.68 | |
| D0470 | 14 | 13 | $559.06 | |
| D0270 | 30 | 26 | $249.20 |