NPI: 1518420793 · SCARSDALE, NY 10583 · Pediatric Dentist · NPI assigned 04/13/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 86 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 21 | 21 | $525.50 |
| D1120 | Prophylaxis - child | 14 | 14 | $442.77 |
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $307.92 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 19 | $218.36 |
| D0230 | Intraoral - periapical each additional radiographic image | 18 | 18 | $149.36 |