NPI: 1205142775 · NANUET, NY 10954 · Dentist · NPI assigned 08/23/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $280.00 |
| 2020 | 14 | $56.00 |
| 2021 | 53 | $210.56 |
| 2022 | 179 | $532.00 |
| 2023 | 133 | $154.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 95 | 94 | $353.50 |
| D0140 | Limited oral evaluation - problem focused | 14 | 12 | $280.00 |
| D0603 | 50 | 48 | $210.00 | |
| D1120 | Prophylaxis - child | 13 | 13 | $200.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 37 | 36 | $129.06 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $60.00 |
| D1330 | 171 | 165 | $0.00 |