NPI: 1467654178 · SARATOGA SPRINGS, NY 12866 · General Practice Dentistry · NPI assigned 06/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 72 | $3K |
| 2019 | 394 | $14K |
| 2020 | 73 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 310 | 306 | $14K |
| D0120 | Periodic oral evaluation - established patient | 157 | 155 | $4K |
| D0274 | Bitewings - four radiographic images | 39 | 39 | $888.00 |
| D0210 | Intraoral - complete series of radiographic images | 13 | 13 | $610.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20 | 20 | $595.10 |