NPI: 1407993603 · NY, NY 10033 · General Practice Dentistry · NPI assigned 01/30/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 52 | $1K |
| 2019 | 359 | $8K |
| 2020 | 105 | $2K |
| 2021 | 128 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 202 | 201 | $7K |
| D0120 | Periodic oral evaluation - established patient | 330 | 328 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 42 | 42 | $341.40 |
| D0230 | Intraoral - periapical each additional radiographic image | 53 | 53 | $232.66 |
| D0272 | Bitewings - two radiographic images | 17 | 17 | $212.65 |