NPI: 1518967108 · ARVERNE, NY 11692 · General Practice Dentistry · NPI assigned 07/26/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,307 | $14K |
| 2019 | 1,440 | $14K |
| 2020 | 643 | $10K |
| 2021 | 477 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 788 | 788 | $19K |
| D0120 | Periodic oral evaluation - established patient | 954 | 954 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 960 | 960 | $9K |
| D0272 | Bitewings - two radiographic images | 920 | 920 | $6K |
| D1120 | Prophylaxis - child | 71 | 71 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 174 | 174 | $916.26 |