GOOD NEIGHBORS DENTAL GROUP PLLC
NPI: 1356853709
· KENMORE, NY 14223
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/25/2017
$285K
Total Medicaid Paid
Provider Details
| Authorized Official | DAMICO, DEBORAH (PRACTICE MANAGER) |
| NPI Enumeration Date | 10/25/2017 |
Related Entities
Other providers sharing the same authorized official: DAMICO, DEBORAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$3K |
| 2019 |
129 |
$27K |
| 2020 |
172 |
$37K |
| 2021 |
1,283 |
$109K |
| 2022 |
1,029 |
$96K |
| 2023 |
67 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,047 |
1,027 |
$233K |
| D0340 |
|
391 |
391 |
$20K |
| D0330 |
Panoramic radiographic image |
394 |
394 |
$14K |
| D8660 |
|
417 |
417 |
$12K |
| D0350 |
|
430 |
430 |
$5K |
| D0470 |
|
13 |
13 |
$443.00 |