NPI: 1427424050 · PLAINFIELD, CT 06374 · General Practice Dentistry · NPI assigned 08/18/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 152 | $1K |
| 2019 | 336 | $3K |
| 2020 | 38 | $338.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 71 | 71 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 288 | 276 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 42 | 42 | $840.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 113 | 113 | $513.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $108.00 |