NPI: 1528465465 · BREWSTER, NY 10509 · Dentist · NPI assigned 11/20/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,199 | $49K |
| 2020 | 143 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 312 | 155 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 326 | 113 | $14K |
| D1110 | Prophylaxis - adult | 260 | 260 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 105 | 56 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 133 | 133 | $5K |
| D0120 | Periodic oral evaluation - established patient | 206 | 206 | $3K |