ROCKAWAY FAMILY DENTISTRY PLLC
NPI: 1316212897
· JAMAICA, NY 11436
· Dentist
· NPI assigned 03/15/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: SHAMTOUB, KOOROSH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
314 |
$4K |
| 2019 |
839 |
$12K |
| 2020 |
536 |
$8K |
| 2021 |
550 |
$9K |
| 2022 |
286 |
$3K |
| 2023 |
1,440 |
$23K |
| 2024 |
961 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
664 |
664 |
$22K |
| D0274 |
Bitewings - four radiographic images |
883 |
882 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,193 |
1,192 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
402 |
401 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
307 |
307 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,122 |
1,121 |
$5K |
| D1120 |
Prophylaxis - child |
97 |
96 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
139 |
138 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
107 |
107 |
$567.47 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$148.85 |