NPI: 1497834642 · SELMA, NC 27576 · General Practice Dentistry · NPI assigned 11/06/2006
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 11/06/2006 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26,147 | $891K |
| 2019 | 24,549 | $892K |
| 2020 | 27,859 | $919K |
| 2021 | 21,314 | $691K |
| 2022 | 17,623 | $562K |
| 2023 | 12,477 | $363K |
| 2024 | 13,985 | $429K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10,173 | 6,478 | $1.05M |
| D1110 | Prophylaxis - adult | 16,057 | 15,518 | $604K |
| D0120 | Periodic oral evaluation - established patient | 22,452 | 21,756 | $564K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4,258 | 3,055 | $325K |
| D1206 | Topical application of fluoride varnish | 18,295 | 17,714 | $292K |
| D0274 | Bitewings - four radiographic images | 9,659 | 9,289 | $291K |
| D1120 | Prophylaxis - child | 8,836 | 8,555 | $237K |
| D0330 | Panoramic radiographic image | 5,064 | 4,862 | $228K |
| D0220 | Intraoral - periapical first radiographic image | 14,522 | 13,790 | $213K |
| D0230 | Intraoral - periapical each additional radiographic image | 17,414 | 11,522 | $207K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,504 | 1,119 | $187K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,740 | 3,584 | $148K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2,324 | 1,855 | $96K |
| D0140 | Limited oral evaluation - problem focused | 2,300 | 2,177 | $80K |
| D0272 | Bitewings - two radiographic images | 3,833 | 3,698 | $68K |
| D1351 | Sealant - per tooth | 1,904 | 664 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 696 | 359 | $44K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 317 | 235 | $43K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 235 | 174 | $18K |
| D4346 | 39 | 39 | $1K | |
| D2330 | 18 | 12 | $1K | |
| D1999 | 314 | 298 | $0.00 |