NPI: 1528456761 · HAMBURG, NY 14075 · Dentist · NPI assigned 12/22/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 320 | $8K |
| 2019 | 402 | $10K |
| 2020 | 555 | $12K |
| 2021 | 288 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 552 | 552 | $15K |
| D1120 | Prophylaxis - child | 311 | 311 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 532 | 532 | $7K |
| D1110 | Prophylaxis - adult | 12 | 12 | $661.20 |
| D0272 | Bitewings - two radiographic images | 36 | 36 | $581.40 |
| D1999 | 60 | 60 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 62 | 62 | $0.00 |