NPI: 1427114842 · BRONX, NY 10467 · Pediatric Dentist · NPI assigned 12/29/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,578 | $116K |
| 2019 | 4,746 | $189K |
| 2020 | 4,547 | $178K |
| 2021 | 2,239 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 3,914 | 3,739 | $565K | |
| D2930 | 38 | 29 | $551.00 | |
| D2391 | 71 | 51 | $209.00 | |
| D1351 | 842 | 268 | $204.25 | |
| D1206 | 1,126 | 1,122 | $171.00 | |
| D2392 | 119 | 94 | $165.30 | |
| D1120 | 2,055 | 2,055 | $122.55 | |
| D0220 | 542 | 537 | $93.10 | |
| D0120 | 1,958 | 1,958 | $82.65 | |
| D0272 | 1,328 | 1,328 | $32.30 | |
| D9230 | 202 | 188 | $0.00 | |
| D0330 | 264 | 264 | $0.00 | |
| D0191 | 234 | 234 | $0.00 | |
| D0274 | 53 | 53 | $0.00 | |
| D1354 | 59 | 15 | $0.00 | |
| D1208 | 1,078 | 1,076 | $0.00 | |
| D0150 | 175 | 175 | $0.00 | |
| D0240 | 13 | 13 | $0.00 | |
| D7140 | 39 | 27 | $0.00 |