NPI: 1255321477 · GLEN COVE, NY 11542 · Dentist · NPI assigned 10/27/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 219 | $5K |
| 2019 | 212 | $5K |
| 2020 | 69 | $2K |
| 2021 | 54 | $964.97 |
| 2023 | 14 | $437.78 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 160 | 158 | $5K |
| D0120 | Periodic oral evaluation - established patient | 232 | 230 | $4K |
| D0274 | Bitewings - four radiographic images | 139 | 137 | $2K |
| D0330 | Panoramic radiographic image | 25 | 25 | $601.92 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $123.60 |