NPI: 1477261972 · LONG ISLAND CITY, NY 11101 · General Practice Dentistry · NPI assigned 11/14/2022
| Authorized Official | IZQUIERDO, PATRICIA (OWNER) |
| NPI Enumeration Date | 11/14/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 556 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9410 | 140 | 137 | $18K | |
| D0274 | Bitewings - four radiographic images | 47 | 45 | $875.60 |
| D0140 | Limited oral evaluation - problem focused | 84 | 82 | $694.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $672.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 67 | 57 | $460.00 |
| D0220 | Intraoral - periapical first radiographic image | 60 | 60 | $364.20 |
| D0350 | 13 | 12 | $28.80 | |
| D9996 | 117 | 116 | $0.00 |