1037 FULTON STREET DENTAL PC
NPI: 1366926891
· FARMINGDALE, NY 11735
· Dentist
· NPI assigned 09/20/2018
Provider Details
| Authorized Official | DAVYDOV, JOHN (DIRECTOR) |
| NPI Enumeration Date | 09/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
93 |
$2K |
| 2021 |
325 |
$5K |
| 2022 |
279 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
266 |
254 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
113 |
$3K |
| D0274 |
Bitewings - four radiographic images |
110 |
110 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
141 |
140 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
39 |
$398.82 |