TC GREECE PEDIATRIC DENTISTRY PLLC
NPI: 1295496933
· GREECE, NY 14626
· Dental Clinic/Center
· NPI assigned 01/05/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CAROCI, ABRAHIM (OWNER/PRESIDENT) |
| NPI Enumeration Date | 01/05/2022 |
Related Entities
Other providers sharing the same authorized official: CAROCI, ABRAHIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
408 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
36 |
36 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
111 |
111 |
$0.00 |
| D1330 |
|
27 |
27 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
15 |
$0.00 |
| D1120 |
Prophylaxis - child |
71 |
71 |
$0.00 |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$0.00 |