NPI: 1487669891 · NEW BRITAIN, CT 06053 · General Practice Dentistry · NPI assigned 07/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55 | $2K |
| 2019 | 138 | $4K |
| 2020 | 173 | $3K |
| 2021 | 63 | $997.16 |
| 2022 | 97 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 190 | 184 | $4K |
| D1110 | Prophylaxis - adult | 111 | 106 | $3K |
| D1120 | Prophylaxis - child | 25 | 25 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17 | 12 | $951.84 |
| D0220 | Intraoral - periapical first radiographic image | 59 | 55 | $639.54 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $369.46 |
| D1999 | 111 | 103 | $0.00 |