STATION DENTAL ASSOCIATES INC.
NPI: 1366613317
· RIVERHEAD, NY 11901
· General Practice Dentistry
· NPI assigned 03/18/2008
Provider Details
| Authorized Official | MILO, SHELDON (OWNER) |
| Parent Organization | STATION DENTAL ASSOCIATES INC. |
| NPI Enumeration Date | 03/18/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,689 |
$31K |
| 2019 |
1,251 |
$25K |
| 2020 |
155 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
549 |
549 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
743 |
743 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
871 |
851 |
$9K |
| D0274 |
Bitewings - four radiographic images |
393 |
393 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
418 |
416 |
$4K |
| D2140 |
|
13 |
12 |
$831.50 |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
41 |
$458.86 |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$389.53 |
| D9110 |
|
27 |
27 |
$358.85 |