ILLUSTRADENT WESTCHESTER DENTAL SERVICES, PLLC
NPI: 1457604555
· WHITE PLAINS, NY 10601
· General Practice Dentistry
· NPI assigned 10/26/2012
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ROSENBERG, MARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |