NPI: 1477624005 · LEVITTOWN, PA 19056 · General Practice Dentistry · NPI assigned 11/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,616 | $16K |
| 2019 | 1,153 | $13K |
| 2020 | 1,032 | $7K |
| 2021 | 1,486 | $11K |
| 2022 | 1,847 | $11K |
| 2023 | 46 | $395.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,586 | 1,569 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,438 | 1,421 | $16K |
| D0120 | Periodic oral evaluation - established patient | 1,321 | 1,295 | $11K |
| D0274 | Bitewings - four radiographic images | 1,213 | 1,201 | $6K |
| D1206 | Topical application of fluoride varnish | 298 | 298 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 917 | 900 | $2K |
| D1120 | Prophylaxis - child | 192 | 192 | $2K |
| D0601 | 91 | 91 | $395.00 | |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $223.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 74 | 51 | $96.37 |
| D1330 | 38 | 37 | $0.00 |