EASTERN ISLAND DENTAL CARE PLLC
NPI: 1316541303
· LINDENHURST, NY 11757
· Dentist
· NPI assigned 11/30/2020
Provider Details
| Authorized Official | SANDMAN, LISA (DIR OF OPERATIONS) |
| NPI Enumeration Date | 11/30/2020 |
Related Entities
Other providers sharing the same authorized official: SANDMAN, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$745.26 |
| 2024 |
273 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
75 |
29 |
$5K |
| D9310 |
|
60 |
60 |
$3K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$835.93 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$723.82 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$243.67 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$239.19 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$134.40 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$112.85 |