NPI: 1386158475 · CLEMMONS, NC 27012 · General Practice Dentistry · NPI assigned 11/28/2017
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (CEO) |
| NPI Enumeration Date | 11/28/2017 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 145 | $3K |
| 2020 | 831 | $19K |
| 2021 | 1,866 | $35K |
| 2022 | 2,672 | $59K |
| 2023 | 3,795 | $114K |
| 2024 | 247 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,299 | 1,154 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 971 | 825 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2,122 | 1,857 | $29K |
| D0330 | Panoramic radiographic image | 732 | 671 | $28K |
| D0274 | Bitewings - four radiographic images | 963 | 830 | $24K |
| D0120 | Periodic oral evaluation - established patient | 988 | 891 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 179 | 135 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,463 | 1,196 | $16K |
| D0140 | Limited oral evaluation - problem focused | 358 | 343 | $12K |
| D1206 | Topical application of fluoride varnish | 314 | 284 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 28 | 16 | $3K |
| D1120 | Prophylaxis - child | 104 | 99 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 17 | 13 | $1K |
| D1999 | 18 | 13 | $0.00 |