NPI: 1326190117 · DIX HILLS, NY 11746 · Dentist · NPI assigned 01/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 92 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 28 | $467.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $345.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $154.00 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $138.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 14 | $44.00 |