SEAN D JESSAMY DDS PC
NPI: 1538372735
· NEW ROCHELLE, NY 10805
· General Practice Dentistry
· NPI assigned 05/07/2007
Provider Details
| Authorized Official | JESSAMY, SEAN (PRESIDENT) |
| NPI Enumeration Date | 05/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$769.50 |
| 2019 |
72 |
$2K |
| 2020 |
26 |
$485.00 |
| 2024 |
13 |
$559.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
93 |
93 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$461.06 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$205.00 |