NPI: 1205415916 · NORTH BABYLON, NY 11703 · Pediatric Dentist · NPI assigned 04/08/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 498 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 142 | 142 | $6K |
| D0120 | Periodic oral evaluation - established patient | 116 | 116 | $3K |
| D1206 | Topical application of fluoride varnish | 113 | 113 | $3K |
| D0272 | Bitewings - two radiographic images | 66 | 66 | $1K |
| D0240 | 19 | 19 | $555.99 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 15 | $453.75 |
| D1208 | Topical application of fluoride, excluding varnish | 27 | 27 | $417.69 |