NPI: 1235220229 · CANTON, NY 13617 · Dentist · NPI assigned 09/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 31 | $90.00 |
| 2023 | 13 | $30.00 |
| 2024 | 223 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 106 | 106 | $2K |
| D1110 | Prophylaxis - adult | 34 | 34 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 44 | 44 | $265.40 |
| D0230 | Intraoral - periapical each additional radiographic image | 26 | 26 | $178.00 |
| D0190 | 44 | 44 | $120.00 | |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $76.00 |