NPI: 1285783761 · READING, MA 01867 · General Practice Dentistry · NPI assigned 01/10/2007
| Authorized Official | SU, LI-AN (OWNER) |
| NPI Enumeration Date | 01/10/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 891 | $30K |
| 2019 | 668 | $23K |
| 2020 | 369 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 655 | 648 | $34K |
| D0120 | Periodic oral evaluation - established patient | 773 | 764 | $17K |
| D0274 | Bitewings - four radiographic images | 224 | 223 | $8K |
| D1206 | Topical application of fluoride varnish | 179 | 177 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 85 | 83 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $152.00 |