NPI: 1417059478 · LAKEWOOD, NY 14750 · Pediatric Dentist · NPI assigned 09/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 300 | $8K |
| 2024 | 1,138 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 399 | 399 | $17K |
| D0120 | Periodic oral evaluation - established patient | 435 | 435 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 359 | 359 | $5K |
| D0272 | Bitewings - two radiographic images | 179 | 179 | $3K |
| D1206 | Topical application of fluoride varnish | 51 | 51 | $1K |
| D1110 | Prophylaxis - adult | 15 | 15 | $817.80 |