NPI: 1407499353 · ROCKY MOUNT, NC 27804 · General Practice Dentistry · NPI assigned 10/23/2019
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/23/2019 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,463 | $85K |
| 2021 | 5,340 | $164K |
| 2022 | 6,481 | $187K |
| 2023 | 5,850 | $159K |
| 2024 | 6,207 | $198K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,793 | 970 | $181K |
| D1110 | Prophylaxis - adult | 3,292 | 3,151 | $118K |
| D0120 | Periodic oral evaluation - established patient | 4,634 | 4,425 | $115K |
| D0274 | Bitewings - four radiographic images | 2,191 | 2,072 | $65K |
| D0220 | Intraoral - periapical first radiographic image | 4,463 | 4,159 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,069 | 3,461 | $46K |
| D0330 | Panoramic radiographic image | 995 | 924 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,000 | 938 | $41K |
| D1120 | Prophylaxis - child | 1,387 | 1,333 | $37K |
| D1206 | Topical application of fluoride varnish | 2,310 | 2,236 | $37K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 208 | 137 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 115 | 66 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 511 | 428 | $8K |
| D0140 | Limited oral evaluation - problem focused | 117 | 113 | $4K |
| D0272 | Bitewings - two radiographic images | 75 | 67 | $1K |
| D1999 | 181 | 68 | $0.00 |