NPI: 1447361902 · BREWSTER, NY 10509 · General Practice Dentistry · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $817.80 |
| 2020 | 228 | $7K |
| 2021 | 225 | $8K |
| 2022 | 121 | $5K |
| 2023 | 261 | $10K |
| 2024 | 384 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 541 | 541 | $29K |
| D0120 | Periodic oral evaluation - established patient | 445 | 445 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 112 | 111 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 37 | 37 | $1K |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $408.90 |
| D0230 | Intraoral - periapical each additional radiographic image | 27 | 27 | $177.66 |
| D1999 | 58 | 53 | $0.00 |