NPI: 1447550033 · KINGSTON, NY 12401 · Dentist · NPI assigned 10/28/2010
| Authorized Official | KRASNOV, ROSS (OWNER) |
| NPI Enumeration Date | 10/28/2010 |
Other providers sharing the same authorized official: KRASNOV, ROSS
| Provider | City | State | Total Paid |
|---|---|---|---|
| BRASS MILL MALL DENTAL L.L.P | WATERBURY | CT | $1.26M |
| TOWN CENTER DENTAL OF STAMFORD P.C. | STAMFORD | CT | $554K |
| STATEN ISLAND MALL DENTAL, P.C. | STATEN ISLAND | NY | $289K |
| HUDSON VALLEY PLAZA DENTAL LLP | TROY | NY | $278K |
| 42ND STREET DENTAL, ASSOCIATES | NEW YORK | NY | $112K |
| ATLANTIC TERMINAL DENTAL, P.C. | BROOKLYN | NY | $81K |
| GALLERIA MALL DENTAL PC | WHITE PLAINS | NY | $72K |
| PALISADES MALL DENTAL LLP | WEST NYACK | NY | $55K |
| OAKDALE MALL DENTAL LLP | JOHNSON CITY | NY | $40K |
| GALLERIA MALL DENTAL PC | MIDDLETOWN | NY | $27K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 250 | $9K |
| 2019 | 646 | $19K |
| 2020 | 1,101 | $24K |
| 2021 | 1,288 | $7K |
| 2022 | 2,197 | $19K |
| 2023 | 2,840 | $29K |
| 2024 | 765 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,951 | 1,949 | $55K |
| D0120 | Periodic oral evaluation - established patient | 1,993 | 1,991 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 852 | 850 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 587 | 585 | $13K |
| D0274 | Bitewings - four radiographic images | 734 | 733 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1,477 | 1,464 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 795 | 791 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 211 | 138 | $1K |
| D0140 | Limited oral evaluation - problem focused | 334 | 332 | $600.70 |
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $210.00 |
| D0330 | Panoramic radiographic image | 43 | 43 | $0.00 |
| D4346 | 95 | 95 | $0.00 |