NPI: 1346711322 · SELMA, NC 27576 · Pediatric Dentist · NPI assigned 12/17/2018
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 12/17/2018 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 5,324 | $68K |
| 2020 | 1,491 | $50K |
| 2021 | 12,456 | $391K |
| 2022 | 19,904 | $512K |
| 2023 | 22,020 | $650K |
| 2024 | 22,262 | $682K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 10,846 | 9,677 | $274K |
| D0120 | Periodic oral evaluation - established patient | 11,041 | 10,091 | $271K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2,000 | 800 | $237K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,284 | 1,403 | $227K |
| D1206 | Topical application of fluoride varnish | 13,892 | 12,408 | $208K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4,394 | 3,667 | $185K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,799 | 1,279 | $141K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,075 | 2,599 | $118K |
| D1351 | Sealant - per tooth | 4,433 | 1,214 | $107K |
| D0220 | Intraoral - periapical first radiographic image | 7,601 | 6,780 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | 9,030 | 5,924 | $101K |
| D0272 | Bitewings - two radiographic images | 5,262 | 4,666 | $87K |
| D0330 | Panoramic radiographic image | 1,717 | 1,532 | $76K |
| D7140 | Extraction, erupted tooth or exposed root | 1,257 | 701 | $72K |
| D1110 | Prophylaxis - adult | 1,825 | 1,741 | $68K |
| D0140 | Limited oral evaluation - problem focused | 879 | 793 | $31K |
| D0274 | Bitewings - four radiographic images | 1,009 | 956 | $29K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 27 | 25 | $4K |
| D1354 | 868 | 204 | $3K | |
| D7111 | 55 | 37 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 41 | 26 | $3K |
| D9420 | 34 | 15 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | 88 | 43 | $1K |