NPI: 1306825963 · WEST NYACK, NY 10994 · General Practice Dentistry · NPI assigned 01/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 79 | $2K |
| 2019 | 102 | $3K |
| 2020 | 150 | $4K |
| 2021 | 226 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 133 | 133 | $6K |
| D0120 | Periodic oral evaluation - established patient | 185 | 185 | $4K |
| D0274 | Bitewings - four radiographic images | 110 | 110 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 90 | 90 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 39 | 39 | $484.95 |