NPI: 1164673372 · AMSTERDAM, NY 12010 · General Practice Dentistry · NPI assigned 10/07/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 206 | $7K |
| 2024 | 40 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 116 | 116 | $5K |
| D0120 | Periodic oral evaluation - established patient | 73 | 73 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $750.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 17 | $480.00 |
| D1208 | Topical application of fluoride, excluding varnish | 25 | 25 | $308.00 |