NPI: 1376927459 · COMMACK, NY 11725 · Pediatric Dentist · NPI assigned 07/17/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 333 | $10K |
| 2020 | 241 | $8K |
| 2021 | 286 | $8K |
| 2022 | 38 | $2K |
| 2023 | 51 | $2K |
| 2024 | 130 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 270 | 270 | $12K |
| D1120 | Prophylaxis - child | 210 | 210 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 240 | 240 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 166 | 161 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 88 | 87 | $1K |
| D1110 | Prophylaxis - adult | 14 | 14 | $927.00 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $494.00 |
| D0272 | Bitewings - two radiographic images | 28 | 28 | $437.50 |
| D9920 | 13 | 13 | $338.00 | |
| D0603 | 12 | 12 | $0.00 | |
| D1330 | 12 | 12 | $0.00 | |
| D1999 | 12 | 12 | $0.00 |