SHERIDAN FAMILY DENTISTRY PLLC
NPI: 1285924639
· TONAWANDA, NY 14150
· Dentist
· NPI assigned 04/19/2011
Provider Details
| Authorized Official | DONAHUE, MARK (CO-OWNER) |
| NPI Enumeration Date | 04/19/2011 |
Related Entities
Other providers sharing the same authorized official: DONAHUE, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
252 |
$10K |
| 2022 |
826 |
$34K |
| 2023 |
111 |
$4K |
| 2024 |
13 |
$354.67 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
470 |
470 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
411 |
411 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
37 |
29 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$3K |
| D0274 |
Bitewings - four radiographic images |
99 |
99 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
45 |
$545.07 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$544.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$191.80 |