RANDOLPH, CHARLES
NPI: 1164589107
· MAMARONECK, NY 10543
· General Practice Dentistry
· NPI assigned 01/02/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
462 |
$13K |
| 2020 |
12 |
$193.00 |
| 2022 |
109 |
$4K |
| 2024 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
191 |
191 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
168 |
160 |
$3K |
| D0274 |
Bitewings - four radiographic images |
114 |
114 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
48 |
48 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$559.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$378.00 |