BRIGHTWATER DENTAL CARE PC
NPI: 1447658844
· BAY SHORE, NY 11706
· General Practice Dentistry
· NPI assigned 12/17/2014
Provider Details
| Authorized Official | ATTALLA, ALBERT (VP PRESIDENT) |
| NPI Enumeration Date | 12/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
69 |
$2K |
| 2020 |
425 |
$14K |
| 2021 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
224 |
220 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
122 |
118 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
142 |
139 |
$3K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$340.38 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$316.23 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$182.49 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
15 |
$163.06 |