NPI: 1326029224 · QUEENS VILLAGE, NY 11427 · Dentist · NPI assigned 11/08/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $2K |
| 2019 | 159 | $1K |
| 2020 | 99 | $768.79 |
| 2021 | 212 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 258 | 258 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 328 | 327 | $2K |
| D1120 | Prophylaxis - child | 29 | 29 | $720.25 |
| D0150 | Comprehensive oral evaluation - new or established patient | 56 | 56 | $358.28 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $231.50 |
| D1208 | Topical application of fluoride, excluding varnish | 26 | 26 | $192.50 |