BRILLIANCE DENTAL OF LONG ISLAND
NPI: 1447726021
· HEMPSTEAD, NY 11550
· General Practice Dentistry
· NPI assigned 10/22/2018
Provider Details
Related Entities
Other providers sharing the same authorized official: ABDELWAHAB, HUSSEIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,328 |
$26K |
| 2021 |
1,638 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
374 |
374 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
517 |
517 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
500 |
499 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
495 |
488 |
$7K |
| D1120 |
Prophylaxis - child |
215 |
215 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
502 |
501 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
203 |
203 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
64 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
12 |
12 |
$871.58 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$344.55 |
| D1999 |
|
31 |
31 |
$0.00 |
| D1330 |
|
36 |
36 |
$0.00 |