CAZENOVIA CREEKSIDE DENTAL, PLLC
NPI: 1295312528
· CAZENOVIA, NY 13035
· General Practice Dentistry
· NPI assigned 03/24/2021
Provider Details
| Authorized Official | LALOR, ROBERT (PRESIDENT) |
| Parent Organization | LALOR DENTISTRY, PC |
| NPI Enumeration Date | 03/24/2021 |
Related Entities
Other providers sharing the same authorized official: LALOR, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
966 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
206 |
204 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
321 |
319 |
$8K |
| D1120 |
Prophylaxis - child |
116 |
116 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
38 |
37 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
28 |
28 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
113 |
113 |
$2K |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
64 |
64 |
$840.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$450.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$223.72 |