NPI: 1174958292 · LANSDOWNE, PA 19050 · Dentist · NPI assigned 09/09/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 164 | $4K |
| 2021 | 772 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 233 | 227 | $8K |
| D0120 | Periodic oral evaluation - established patient | 203 | 199 | $4K |
| D0274 | Bitewings - four radiographic images | 125 | 122 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 163 | 157 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 156 | 151 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 40 | 36 | $800.00 |
| D0210 | Intraoral - complete series of radiographic images | 16 | 13 | $675.00 |