NPI: 1306834304 · ARVERNE, NY 11692 · General Practice Dentistry · NPI assigned 10/12/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,305 | $42K |
| 2019 | 2,226 | $45K |
| 2020 | 538 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,144 | 1,143 | $34K |
| D0120 | Periodic oral evaluation - established patient | 1,670 | 1,669 | $28K |
| D0274 | Bitewings - four radiographic images | 1,077 | 1,076 | $17K |
| D1120 | Prophylaxis - child | 445 | 445 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 709 | 709 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 24 | 24 | $856.49 |