NPI: 1376774661 · ROCKAWAY BEACH, NY 11693 · Dentist · NPI assigned 08/04/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 939 | $18K |
| 2019 | 1,237 | $23K |
| 2020 | 924 | $20K |
| 2021 | 1,780 | $45K |
| 2022 | 753 | $19K |
| 2023 | 560 | $11K |
| 2024 | 275 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,841 | 1,840 | $67K |
| D0120 | Periodic oral evaluation - established patient | 2,495 | 2,494 | $46K |
| D0274 | Bitewings - four radiographic images | 613 | 613 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 589 | 589 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 176 | 176 | $5K |
| D1120 | Prophylaxis - child | 160 | 160 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 302 | 302 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 292 | 292 | $2K |