NPI: 1467482976 · ALEXANDRIA BAY, NY 13607 · Dentist · NPI assigned 07/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 290 | $11K |
| 2019 | 564 | $21K |
| 2020 | 621 | $22K |
| 2021 | 684 | $25K |
| 2022 | 618 | $23K |
| 2023 | 518 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,291 | 1,289 | $68K |
| D0120 | Periodic oral evaluation - established patient | 1,609 | 1,608 | $44K |
| D0274 | Bitewings - four radiographic images | 287 | 287 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 83 | 83 | $1K |
| D1120 | Prophylaxis - child | 12 | 12 | $512.90 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $171.80 |