NPI: 1194163212 · BRONX, NY 10471 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/11/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,285 | $145K |
| 2024 | 1,237 | $137K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 564 | 135 | $70K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 486 | 153 | $62K |
| D9243 | 283 | 282 | $54K | |
| D9310 | 350 | 350 | $41K | |
| D9239 | 302 | 301 | $34K | |
| D0330 | Panoramic radiographic image | 299 | 299 | $17K |
| D9610 | 238 | 237 | $4K |