NPI: 1205273224 · YONKERS, NY 10701 · Pediatric Dentist · NPI assigned 05/31/2013
Authorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset. Read more
| Authorized Official | GOMEZ, STEPHANIE (OWNER) |
| NPI Enumeration Date | 05/31/2013 |
Other providers sharing the same authorized official: GOMEZ, STEPHANIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,393 | $366K |
| 2019 | 5,731 | $224K |
| 2021 | 14,537 | $568K |
| 2022 | 33,668 | $1.23M |
| 2023 | 35,941 | $1.14M |
| 2024 | 38,736 | $1.06M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17,664 | 6,607 | $835K |
| D1120 | Prophylaxis - child | 14,788 | 14,788 | $494K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7,394 | 4,382 | $490K |
| D0120 | Periodic oral evaluation - established patient | 17,026 | 17,026 | $396K |
| D8670 | Periodic orthodontic treatment visit | 1,464 | 1,463 | $372K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2,444 | 849 | $247K |
| D0272 | Bitewings - two radiographic images | 16,898 | 16,884 | $234K |
| D1208 | Topical application of fluoride, excluding varnish | 19,083 | 19,081 | $232K |
| D1110 | Prophylaxis - adult | 5,558 | 5,558 | $231K |
| D7140 | Extraction, erupted tooth or exposed root | 3,592 | 2,545 | $170K |
| D1351 | Sealant - per tooth | 4,420 | 1,674 | $158K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,470 | 476 | $114K |
| D0220 | Intraoral - periapical first radiographic image | 8,602 | 8,574 | $81K |
| D2335 | 529 | 211 | $63K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,416 | 2,416 | $57K |
| D0340 | 980 | 979 | $47K | |
| D1206 | Topical application of fluoride varnish | 1,549 | 1,549 | $41K |
| D2332 | 349 | 237 | $41K | |
| D0470 | 1,043 | 1,042 | $33K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 462 | 370 | $33K |
| D0330 | Panoramic radiographic image | 1,001 | 1,000 | $31K |
| D8660 | 1,007 | 1,007 | $28K | |
| D0145 | Oral evaluation for a patient under three years of age | 1,005 | 1,005 | $24K |
| D0240 | 1,591 | 1,567 | $22K | |
| D2330 | 462 | 315 | $21K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2,869 | 2,557 | $21K |
| D0140 | Limited oral evaluation - problem focused | 1,232 | 1,219 | $14K |
| D1354 | 636 | 233 | $13K | |
| D8060 | 15 | 15 | $13K | |
| D0350 | 1,052 | 1,051 | $12K | |
| D2394 | 90 | 38 | $10K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 12 | 12 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 40 | 20 | $3K |
| D9310 | 42 | 41 | $1K | |
| D2140 | 26 | 14 | $1K | |
| D9110 | 12 | 12 | $149.55 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 183 | 179 | $30.00 |