NPI: 1417932088 · MASPETH, NY 11378 · General Practice Dentistry · NPI assigned 12/07/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $660.00 |
| 2019 | 12 | $640.00 |
| 2020 | 173 | $6K |
| 2021 | 276 | $8K |
| 2022 | 487 | $13K |
| 2023 | 212 | $8K |
| 2024 | 86 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 345 | 345 | $20K |
| D0120 | Periodic oral evaluation - established patient | 279 | 279 | $8K |
| D0274 | Bitewings - four radiographic images | 145 | 145 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 271 | 268 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 218 | 217 | $3K |