PESANTES DENTAL PC
NPI: 1245525351
· RICHMOND HILL, NY 11418
· General Practice Dentistry
· NPI assigned 06/16/2011
Provider Details
| Authorized Official | PESANTES, JUAN (PRESIDENT) |
| NPI Enumeration Date | 06/16/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$702.68 |
| 2019 |
118 |
$2K |
| 2020 |
64 |
$1K |
| 2021 |
30 |
$525.94 |
| 2022 |
24 |
$443.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
167 |
165 |
$2K |
| D1110 |
Prophylaxis - adult |
88 |
88 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$278.97 |