NPI: 1366596306 · MAMARONECK, NY 10543 · General Practice Dentistry · NPI assigned 01/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,132 | $34K |
| 2019 | 504 | $16K |
| 2020 | 120 | $4K |
| 2021 | 24 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 259 | 153 | $20K |
| D0120 | Periodic oral evaluation - established patient | 461 | 461 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 427 | 426 | $5K |
| D1120 | Prophylaxis - child | 102 | 102 | $4K |
| D1351 | Sealant - per tooth | 107 | 27 | $4K |
| D0272 | Bitewings - two radiographic images | 177 | 177 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 162 | 162 | $2K |
| D1110 | Prophylaxis - adult | 31 | 31 | $2K |
| D0274 | Bitewings - four radiographic images | 42 | 42 | $1K |
| D2140 | 12 | 12 | $667.00 |