SUFFOLK DENTAL CARE, PC
NPI: 1336749530
· CORAM, NY 11727
· Dentist
· NPI assigned 10/27/2020
Provider Details
| Authorized Official | RODRIGUEZ, JOHANNY (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 10/27/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
152 |
$4K |
| 2023 |
256 |
$7K |
| 2024 |
1,404 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
233 |
233 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
376 |
376 |
$9K |
| D0274 |
Bitewings - four radiographic images |
272 |
272 |
$6K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
14 |
12 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
418 |
418 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
73 |
73 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
367 |
367 |
$2K |
| D2954 |
|
21 |
12 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$808.82 |