ELITE DENTAL
NPI: 1295990422
· REGO PARK, NY 11374
· General Practice Dentistry
· NPI assigned 07/28/2008
Provider Details
| Authorized Official | ISAKHAROV, RAFAEL (SOLE PROPRIETOR) |
| NPI Enumeration Date | 07/28/2008 |
Related Entities
Other providers sharing the same authorized official: ISAKHAROV, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
673 |
$13K |
| 2019 |
821 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
287 |
284 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
299 |
296 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
253 |
252 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
315 |
315 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
328 |
328 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$119.20 |