MONTEFIORE MEDICAL CENTER
NPI: 1205110038
· BRONX, NY 10463
· Dental Clinic/Center
· NPI assigned 09/28/2011
Provider Details
| Authorized Official | DOWLING, MICHAEL (CHIEF ADMINSTRATION OFFICER) |
| NPI Enumeration Date | 09/28/2011 |
Related Entities
Other providers sharing the same authorized official: DOWLING, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$192.50 |
| 2019 |
251 |
$4K |
| 2020 |
112 |
$2K |
| 2021 |
133 |
$1K |
| 2022 |
752 |
$9K |
| 2023 |
198 |
$2K |
| 2024 |
35 |
$142.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
236 |
236 |
$5K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$5K |
| D0274 |
Bitewings - four radiographic images |
179 |
179 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
686 |
273 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
83 |
83 |
$1K |
| D1206 |
Topical application of fluoride varnish |
40 |
39 |
$788.00 |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$735.00 |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
65 |
$307.86 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$266.00 |
| D1330 |
|
63 |
63 |
$0.00 |