PARKVIEW FAMILY DENTAL, P.C.
NPI: 1396868105
· POMONA, NY 10970
· General Practice Dentistry
· NPI assigned 04/08/2007
$174K
Total Medicaid Paid
Provider Details
| Authorized Official | ILAN, JOSHUA (PRESIDENT) |
| NPI Enumeration Date | 04/08/2007 |
Related Entities
Other providers sharing the same authorized official: ILAN, JOSHUA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$712.55 |
| 2019 |
193 |
$4K |
| 2020 |
420 |
$7K |
| 2021 |
837 |
$17K |
| 2022 |
1,242 |
$28K |
| 2023 |
1,483 |
$79K |
| 2024 |
1,180 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2750 |
|
125 |
93 |
$54K |
| D1110 |
Prophylaxis - adult |
1,284 |
1,284 |
$49K |
| D0210 |
Intraoral - complete series of radiographic images |
826 |
826 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
688 |
688 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
635 |
635 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,114 |
1,107 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
381 |
380 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
247 |
246 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$252.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$162.65 |
| D1999 |
|
18 |
17 |
$0.00 |