NPI: 1265195523 · LELAND, NC 28451 · General Practice Dentistry · NPI assigned 10/14/2021
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/14/2021 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,307 | $27K |
| 2023 | 252 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 416 | 381 | $10K |
| D1110 | Prophylaxis - adult | 171 | 162 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 316 | 287 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 257 | 139 | $3K |
| D1206 | Topical application of fluoride varnish | 158 | 153 | $3K |
| D0140 | Limited oral evaluation - problem focused | 60 | 58 | $2K |
| D1120 | Prophylaxis - child | 79 | 66 | $2K |
| D0274 | Bitewings - four radiographic images | 57 | 52 | $1K |
| D0330 | Panoramic radiographic image | 31 | 28 | $991.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $641.10 |