NPI: 1174642854 · COOPERSTOWN, NY 13326 · General Practice Dentistry · NPI assigned 03/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,220 | $37K |
| 2019 | 1,495 | $45K |
| 2020 | 1,127 | $33K |
| 2021 | 1,344 | $40K |
| 2022 | 1,339 | $42K |
| 2023 | 1,527 | $48K |
| 2024 | 1,367 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,766 | 2,761 | $75K |
| D0274 | Bitewings - four radiographic images | 2,284 | 2,281 | $70K |
| D1120 | Prophylaxis - child | 1,639 | 1,634 | $66K |
| D1110 | Prophylaxis - adult | 991 | 990 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 1,696 | 1,693 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 43 | 43 | $1K |