NPI: 1164597845 · LACKAWANNA, NY 14218 · General Practice Dentistry · NPI assigned 11/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,082 | $117K |
| 2019 | 846 | $28K |
| 2020 | 728 | $31K |
| 2021 | 1,549 | $68K |
| 2022 | 523 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | 836 | 618 | $72K | |
| D1110 | 1,353 | 1,350 | $67K | |
| D0120 | 1,756 | 1,747 | $43K | |
| D2394 | 238 | 174 | $28K | |
| D0330 | 663 | 660 | $21K | |
| D0220 | 965 | 935 | $11K | |
| D0274 | 422 | 421 | $10K | |
| D1120 | 74 | 74 | $3K | |
| D0140 | 205 | 202 | $3K | |
| D1208 | 104 | 104 | $1K | |
| D2391 | 21 | 14 | $1K | |
| D0150 | 32 | 32 | $908.90 | |
| D0210 | 26 | 25 | $569.10 | |
| D0272 | 14 | 14 | $182.60 | |
| D0230 | 19 | 15 | $121.50 |