NPI: 1477952166 · SCHENECTADY, NY 12307 · General Practice Dentistry · NPI assigned 08/19/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 110 | $3K |
| 2019 | 555 | $14K |
| 2020 | 400 | $13K |
| 2021 | 256 | $9K |
| 2024 | 129 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 309 | 309 | $17K |
| D0330 | Panoramic radiographic image | 238 | 237 | $9K |
| D0274 | Bitewings - four radiographic images | 330 | 330 | $8K |
| D1120 | Prophylaxis - child | 110 | 109 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 109 | 109 | $3K |
| D0120 | Periodic oral evaluation - established patient | 101 | 101 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 96 | 95 | $1K |
| D0603 | 157 | 157 | $0.00 |