NPI: 1306243480 · WOODSIDE, NY 11377 · General Practice Dentistry · NPI assigned 12/04/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,825 | $68K |
| 2019 | 2,368 | $55K |
| 2020 | 2,617 | $70K |
| 2021 | 2,994 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,718 | 1,718 | $71K | |
| D0120 | 1,776 | 1,776 | $49K | |
| D1351 | 979 | 297 | $42K | |
| D1208 | 2,081 | 2,081 | $28K | |
| D0272 | 1,276 | 1,276 | $20K | |
| D0230 | 1,047 | 1,029 | $14K | |
| D0220 | 987 | 985 | $14K | |
| D1110 | 202 | 202 | $11K | |
| D2392 | 160 | 75 | $9K | |
| D7140 | 141 | 86 | $8K | |
| D1354 | 189 | 40 | $8K | |
| D0274 | 207 | 207 | $6K | |
| D0145 | 25 | 25 | $733.50 | |
| D0240 | 16 | 16 | $258.40 |