NPI: 1548328545 · SUFFERN, NY 10901 · Endodontist · NPI assigned 12/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 296 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 135 | 130 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 21 | 21 | $0.00 |
| D1110 | Prophylaxis - adult | 18 | 18 | $0.00 |
| D1120 | Prophylaxis - child | 25 | 25 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 47 | 47 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 20 | 20 | $0.00 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 18 | 12 | $0.00 |