ROSSARIN MITSUMOTO D.D.S., P.C.
NPI: 1316467269
· SLEEPY HOLLOW, NY 10591
· Pediatric Dentist
· NPI assigned 06/21/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
44 |
$1K |
| 2020 |
66 |
$2K |
| 2021 |
98 |
$2K |
| 2022 |
88 |
$2K |
| 2023 |
364 |
$8K |
| 2024 |
386 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
160 |
160 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
353 |
353 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
193 |
193 |
$5K |
| D0274 |
Bitewings - four radiographic images |
133 |
133 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
111 |
111 |
$856.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$630.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
82 |
82 |
$415.00 |